Derek Libby Do

NPI #1619234317 in Portland, Maine

Provider Information

NPI Number
1619234317
Entity Type
Organization
Organization Name
Derek Libby Do
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Apr 19, 2012
Last Updated
Apr 19, 2012

Practice Location

Address
97A EXCHANGE ST STE 201
State
Maine
ZIP Code
04101-5016
Phone
(207) 773-3335

Authorized Official

Name
DEREK R LIBBY, D.O.
Title
OWNER
Phone
(207) 773-3335

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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