is a Physician Assistant in Belfast, Maine. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1447202601. The last update date is .
's current location address is Po Box 11390, Belfast, Maine. You can contact this provider via phone number 8669491433. The mailing address for is Po Box 11390, Belfast, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | Po Box 11390, Belfast, Maine |
Phone Number | 8669491433 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1447202601 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | Po Box 11390 |
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City | Belfast |
State | Maine (ME) |
Post Code | 49154004 |
Phone Number | 8669491433 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | FLPA2161 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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291732700 | FL | -- |
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