Organization Name: | WESTERN MAINE RADIOLOGY, P.A. |
NPI Number: | 1295722577 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REYNOLD VILLEDROUIN (PRESIDENT) |
Mailing Address: | 181 Main St Norway |
State: | ME US |
Postal Code: | 042685664 |
Phone Number: | 2077435933 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2005 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | 013334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |