Healthcare Provider Details

I. General information

NPI: 1629149133
Provider Name (Legal Business Name): JULIA ANNE ARNOLD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 02/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 U.S. ROUTE 1
WHITING ME
04691-0108
US

IV. Provider business mailing address

PO BOX 108
WHITING ME
04691-0108
US

V. Phone/Fax

Practice location:
  • Phone: 207-733-2900
  • Fax: 207-733-2866
Mailing address:
  • Phone: 207-733-2900
  • Fax: 207-733-2866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number013026
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: