Doctor Name: | DR. BRUCE KEVIN WAITE |
NPI Number: | 1851394530 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | DO17052 |
Business Practice Address: | 46 Fairview Ave Suite 229 Skowhegan, ME - 049761481 |
Business Phone Number: | 2074747131 |
Business Fax Number: | 2074743998 |
Mailing Address: | Po Box 468, SKOWHEGAN |
State: | ME |
Postal Code: | 049760468 |
Phone Number: | 2074745121 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 08/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | DO17052 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |