Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 013087 | ME |
NPI | 1770649642 |
---|---|
Provider Name | Colin S Pope |
First Address | Lewiston, ME 04243-7291 |
Second Address | Lewiston, ME 04240-6030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 17/07/2020 |