Individual
MRS. CHRISTINE BLAKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
114 STROUDWATER ST, WESTBROOK, ME 04092-4037
(207) 856-6792
(207) 854-1146
Mailing address
114 STROUDWATER ST, WESTBROOK, ME 04092-4037
(207) 856-6792
(207) 854-1146
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO2350
ME
207Q00000X
Family Medicine Physician
DO2350
ME
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
DO2350
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409080099
—
ME
Enumeration date
01/09/2007
Last updated
12/14/2023
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