MR. David Thomas Douglass, OD

NPI #1417949678 in Bangor, Maine

Provider Information

NPI Number: 1417949678
Entity Type: Individual
Name: MR. David Thomas Douglass, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 15, 2005
Last Updated: Jan 16, 2025

Practice Location

Address: 955 BROADWAY
City: Bangor
State: Maine
ZIP Code: 04401-2918
Phone: (207) 990-4388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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