TIMOTHY THEOBALD, DO

Family Medicine

Active Individual
NPI: 1104895648

Practice Address

25A JUNE ST STE 111
Sanford, ME 04073

Phone: (207) 490-7998

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 1523 (ME)

Frequently Asked Questions

NPI 1104895648 is the National Provider Identifier for TIMOTHY THEOBALD, DO, a Family Medicine provider located in Sanford, ME. This NPI was enumerated on March 16, 2006.
TIMOTHY THEOBALD, DO practices at 25A JUNE ST STE 111, Sanford, ME 04073.

Quick Facts

NPI
1104895648
Type
Individual
Enumerated
Mar 16, 2006
Last Updated
Apr 1, 2019

Nearby Providers