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General NPI Number Information
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NPI Number | 1053375402
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Entity Type | Individual
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Provider Name | STEVEN JAY ARNOLD M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 1008 W MAIN ST
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-3745
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Country | US
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Telephone | 207-564-8710
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Fax | 207-564-8715
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Provider Business Mailing Address
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Address Line | 118 MOOSEHEAD TRL STE 5
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City | NEWPORT
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State | ME
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Zip | 04953-4055
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Country | US
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Telephone | 207-368-5189
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Fax | 207-368-4213
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11679
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License Number State | ME
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