NPI Provider: 1366429763
Contact Name: Stoner L Timothy
Position: President
Phone: (207) 786-3571
X-ray Professional Association Information:
X-ray Professional Association organization have npi 1366429763, taxonomy code is 174400000X with license number is in . This Business address located in 12 Bates St, Lewiston, ME 42407 Maine.
Practice Location
Address: 300 Main St, Lewiston, ME 42407
Phone: (207) 795-2400
Business Location
Address: 12 Bates St, Lewiston, ME 42407
Phone: (207) 786-3571
Fax: (207) 783-3362
Taxonomy
Taxonomy Code: 174400000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 12/27/2005
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