Individual
PAUL R MAILHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
287 MAIN ST, SUITE 401, LEWISTON, ME 04240-7054
(207) 795-2171
(207) 795-8330
Mailing address
287 MAIN ST, SUITE 401, LEWISTON, ME 04240-7054
(207) 795-2171
(207) 795-8330
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9456
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109240099
—
ME
Enumeration date
12/08/2006
Last updated
07/06/2010
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