NPI 1518315142
John Tivnan, DO
Practice location
- Address
- 1365 Broadway, Bangor, ME 04401-2401
- Phone
- (207) 942-6226
- Fax
- (207) 992-2756
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Pain Medicine (Anesthesiology) Physician
Registry record
- NPI
- 1518315142
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 May 2016
- Record last updated
- 17 Jan 2023
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.