Organization
BANGOR HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATR ANN SMALL (PHYSICIAN)
(207) 992-2395
Entity
Organization
Contact information
Practice address
109 STATE ST, BANGOR, ME 04401-5149
(207) 992-2395
(207) 992-2398
Mailing address
109 STATE ST, BANGOR, ME 04401-5149
(207) 992-2395
(207) 992-2398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1608
ME
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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