Provider Demographics
NPI:1952408510
Name:HAWKINS, DAVID ROLLO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ROLLO
Last Name:HAWKINS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:88 HAMMOND ST
Mailing Address - Street 2:FOURTH FLOOR
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4953
Mailing Address - Country:US
Mailing Address - Phone:207-990-2367
Mailing Address - Fax:
Practice Address - Street 1:88 HAMMOND ST
Practice Address - Street 2:FOURTH FLOOR
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4953
Practice Address - Country:US
Practice Address - Phone:207-990-2367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME0136132084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry