Individual provider · NPI-1

Gavin M Ducker, MD

Family Medicine · Scarborough, ME

NPI number1013062348
StatusActive
Last updated in NPPESApr 8, 2024

Details

NPI
1013062348
Entity type
Individual (NPI-1)
Name
Mr. Gavin M Ducker
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 25, 2007
Certification date
Apr 8, 2024
Last updated
Apr 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD015525MEYes

Practice location

300 Professional Dr Ste 2c
Scarborough, ME 04074-8897

Phone 207-883-7926

Mailing address

174 Kennedy Memorial Dr
Waterville, ME 04901-5134

Phone 207-861-3338 · Fax 207-861-3281

Other practice locations

80 Main Street
Unity, ME 04988-0000

Phone 207-948-2100 · Fax 207-948-3018

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