Whalio Doctors

NPI 1003892605

Stephen R Goldbas, DO

Practitioner Neuromusculoskeletal Medicine & OMM Physician Portland, ME

Practice location

Address
195 Fore River Pkwy STE 407, Portland, ME 04102-2780
Phone
(207) 749-6612
Fax
(207) 747-4077
Mailing address
195 Fore River Pkwy STE 470, Portland, ME 04102-2787

Registered specialties (2)

Neuromusculoskeletal Medicine & OMM Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 1678 (ME)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 1678 (ME)

Registry record

NPI
1003892605
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Dec 2005
Record last updated
14 Mar 2022

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.