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Dr. Brian Randall Ewy, DO
Diagnostic Radiology Physician in Kennebunk, Maine
NPI 1205878857

Brian Randall Ewy is a Diagnostic Radiology Physician based in Beachwood, ME and is specialized in Diagnostic Radiology. Brian Randall Ewy practices in Kennebunk, ME and has the professional credentials of DO. The NPI Number for Brian Randall Ewy is 1205878857 and holds a License No. 58575 (Maine).

The current practice location address for Brian Randall Ewy is 21 Rivers Edge Dr, Kennebunk, ME and can be reached out via phone at 207-967-2745. You can also correspond with Brian Randall Ewy through the mailing address at 23625 COMMERCE PARK, BEACHWOOD, OH - 44122-5845 (mailing address contact number: 216-255-5743).

Location: 21 Rivers Edge Dr, Kennebunk, ME, 44122-5845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205878857
Provider Name
Brian Randall Ewy
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
21 Rivers Edge Dr, Kennebunk, ME, 44122-5845
Phone Number
207-967-2745
Fax Number
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1415863 05 LA
7100081200 05 KY
7617011 05 NC
432215499 05 ME
Q01835 05 SC
1205878857 01 TRICARE NORTH
1025758980002 05 PA
institution
Provider Business Practice Location Address Details
Address
21 Rivers Edge Dr
City
Kennebunk
State
Maine
Zip
04043-7739
Phone Number
207-967-2745
Fax Number
person
Provider Business Mailing Address Details
Address
23625 Commerce Park
City
Beachwood
State
Ohio
Zip
44122-5845
Phone Number
216-255-5743
Fax Number
866-735-3451
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
58575 (Tennessee)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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