Individual
STEPHEN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-6625
Mailing address
25 BELFIELD RD, CAPE ELIZABETH, ME 04107-1611
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
011913
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322860099
—
ME
Enumeration date
05/12/2006
Last updated
07/16/2007
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