Organization
JOHN L. TOOTHAKER, DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L TOOTHAKER DPM (PRESIDENT)
(207) 368-5415
Entity
Organization
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
213ES0131X
Foot Surgery Podiatrist
Primary
POD141
ME
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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