Organization
WAYNE DILLARD, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE DILLARD D.O. (OWNER)
(978) 534-6265
Entity
Organization
Contact information
Practice address
80 ERDMAN WAY STE 309, LEOMINSTER, MA 01453-1818
(978) 534-6265
Mailing address
PO BOX 639, SACO, ME 04072-0639
(978) 534-6265
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
60425
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
60425
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
60425
MA
Other
Enumeration date
02/05/2007
Last updated
11/06/2007
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