Individual
DR. EDMUND CLAXTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
76 HIGH ST, LEWISTON, ME 04240-7649
(207) 795-2805
(207) 795-2190
Mailing address
76 HIGH ST, LEWISTON, ME 04240-7649
(207) 795-2800
(207) 795-2808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9652
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279820099
—
ME
Enumeration date
09/22/2005
Last updated
02/11/2013
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