NPI: 1538236534 · LEWISTON, ME 04240 · Anesthesiology Physician · NPI assigned 11/29/2006
| Authorized Official | KEITH, JACK (PRESIDENT) |
| NPI Enumeration Date | 11/29/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 19 | $678.73 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00104 | 19 | 14 | $678.73 |