Individual
JOHN F SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1236
(207) 626-1549
Mailing address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1236
(207) 626-1549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1839
ME
208M00000X
Hospitalist Physician
Primary
1839
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410120099
—
ME
Enumeration date
03/09/2006
Last updated
09/02/2010
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