Individual
DR. JOHN LLEWELLYN TOOTHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
168 GROVE ST, NEWPORT, ME 04953-3347
(207) 368-5415
(207) 368-5415
Mailing address
168 GROVE ST, NEWPORT, ME 04953-3347
(207) 368-5415
(207) 368-5415
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD141
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200340100
—
ME
Enumeration date
05/23/2006
Last updated
07/09/2007
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