Whalio Doctors

NPI 1043222334

James D. Raque, MD

Practitioner Vascular & Interventional Radiology Physician Waterville, ME

Practice location

Address
149 North Street, Waterville, ME 04901-4974
Phone
(207) 873-0729
Fax
(207) 873-4338
Mailing address
PO Box 766, Waterville, ME 04901-0766

Registered specialties (3)

Vascular & Interventional Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 017660 (ME)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 42012 (CO)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 017660 (ME)

Registry record

NPI
1043222334
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Aug 2006
Record last updated
15 Aug 2011

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.