Thomas J Vanidestine Jr

NPI #1487600011 in Bangor, Maine

Provider Information

NPI Number
1487600011
Entity Type
Organization
Organization Name
Thomas J Vanidestine Jr
Primary Specialty
Chiropractor
Enumeration Date
May 25, 2006
Last Updated
Mar 16, 2017

Practice Location

Address
336 MOUNT HOPE AVE
Address 2
SUITE 11
City
Bangor
State
Maine
ZIP Code
04401-4236
Phone
(207) 942-2800

Authorized Official

Name
THOMAS J VANIDESTINE JR., DC
Title
OWNER
Phone
(207) 942-2800

Specialties & Taxonomy Codes

Specialty
Chiropractor

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