Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | DO1639 | ME |
NPI | 1154315620 |
---|---|
Provider Name | Robert Paul Dohner |
First Address | Augusta, ME 04330-8160 |
Second Address | Augusta, ME 04330-5717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 29/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018566770001 | (05) | PA |
H20990 | (02) | PA |