NPI 1164059978
Whole Health Osteopathic Medicine
Practice location
- Address
- 195 Fore River Pkwy STE 407, Portland, ME 04102-2780
- Phone
- (207) 749-6612
Authorised official
- Name
- Stephen R Goldbas
- Title
- Owner
- Phone
- (207) 749-6612
Registered specialties
Neuromusculoskeletal Medicine & OMM Physician
Primary
Registry record
- NPI
- 1164059978
- Entity type
- Organization
- NPI issued
- 24 Mar 2020
- Record last updated
- 14 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.