Organization
PINE TREE ORTHOPEDIC LAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE L. MACDONALD (PRESIDENT)
(207) 897-5558
Entity
Organization
Contact information
Practice address
175 PARK ST, LIVERMORE FALLS, ME 04254-4125
(207) 897-5558
(207) 897-1117
Mailing address
175 PARK ST, LIVERMORE FALLS, ME 04254-4125
(207) 897-5558
(207) 897-1117
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/09/2009
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