Patricia Small DO

NPI 1295810463 - Family Medicine - 207Q00000X

NPI Details
NPI 1295810463
Gender Female
Enumeration Date 10/26/2006
Last Updated 01/07/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
109 STATE ST
BANGOR ME, 04401-5149, US
Phone (207) 945-3800
Fax (207) 992-2398
Business Location
109 STATE ST
BANGOR ME, 04401-5149, US
Phone (207) 945-3800
Fax (207) 992-2398
Toxanomy
Taxonomy Code 207Q00000X
License State Maine
License Number 1608
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According to our database, Patricia Small DO NPI is 1295810463, taxonomy code is 207Q00000X and license number is 1608, license state is located at Maine. Patricia Small DO physically located at 109 State St, Bangor ME, 04401-5149. NPI Number Patricia Small DO has the Individual type.

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1295810463 NPI number is provided on an as is basis without warranty of any kind. 1295810463 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Small DO are for informational purposes only.