Healthcare Provider Details
I. General information
NPI: 1326108697
Provider Name (Legal Business Name): OXFORD HILLS FOOT AND ANKLE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2006
Last Update Date: 04/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19 GREEN ST
NORWAY ME
04268-5621
US
IV. Provider business mailing address
19 GREEN ST
NORWAY ME
04268-5621
US
V. Phone/Fax
- Phone: 207-743-8000
- Fax: 207-743-0804
- Phone: 207-743-8000
- Fax: 207-743-0804
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARTHUR
G
GREGORY
Title or Position: OWNER
Credential: D.P.M.
Phone: 207-743-8000