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Organization

RIVERSIDE OSTEOPATHY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARRETT B EDWARDS DO (OWNER)
(207) 899-8130
Entity
Organization

Contact information

Practice address
40 MAIN ST, SUITE 131, BIDDEFORD, ME 04005-5173
(207) 899-8130
(207) 558-8258
Mailing address
PO BOX 292, SACO, ME 04072-0292
(207) 899-8130
(207) 558-8258

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary

Other

Enumeration date
05/11/2016
Last updated
05/11/2016
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