Healthcare Provider Details

I. General information

NPI: 1164498283
Provider Name (Legal Business Name): RICHARD F HOBBS III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 SILVER ST
WATERVILLE ME
04901-5923
US

IV. Provider business mailing address

121 SILVER ST
WATERVILLE ME
04901-5923
US

V. Phone/Fax

Practice location:
  • Phone: 207-873-3900
  • Fax: 207-873-4900
Mailing address:
  • Phone: 207-873-3900
  • Fax: 207-873-4900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number008967
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: