Whalio Doctors

NPI 1518315142

John Tivnan, DO

Practitioner Interventional Pain Medicine Physician Bangor, ME

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
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence DO3257 (ME)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence DO3257 (ME)

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.