Individual
DR. JAMES W DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 WASHINGTON ST, WATERVILLE, ME 04901-4315
(207) 877-7100
(207) 872-6134
Mailing address
10 WASHINGTON ST, WATERVILLE, ME 04901
(207) 877-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1296
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080166322
RAILROAD
—
01
—
1041834
AETNA
—
05
—
323710099
—
ME
Enumeration date
12/08/2005
Last updated
11/30/2011
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