Organization
RICHARD STOCKWELL, DO, LLC
Active
Other names
Maine Proctology Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S STOCKWELL DO (OWNER/PROVIDER)
(207) 854-8200
Entity
Organization
Contact information
Practice address
344 CUMBERLAND ST, WESTBROOK, ME 04092-2408
(207) 854-8200
(207) 854-8244
Mailing address
PMB 2700, 4 SCAMMON ST, SUITE 19, SACO, ME 04072
(207) 282-4704
(207) 286-3218
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246680000
—
ME
Enumeration date
01/25/2008
Last updated
05/16/2008
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