Mira-su Thurston PA-C

NPI 1992848352 - Physician Assistant - 363AM0700X

NPI Details
NPI 1992848352
Gender Female
Enumeration Date 02/15/2007
Last Updated 06/25/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
7 MADELYN LN
SUITE 200
ROCKPORT ME, 04856-4460, US
Phone (207) 593-5900
Fax (207) 593-5358
Business Location
7 MADELYN LN
SUITE 200
ROCKPORT ME, 04856-4460, US
Phone (207) 593-5900
Fax (207) 593-5358
Toxanomy
Taxonomy Code 363AM0700X
License State Maine
License Number PA637
Remove 1992848352 NPI Number
 

According to our database, Mrs. Mira-su Thurston PA-C NPI is 1992848352, taxonomy code is 363AM0700X and license number is PA637, license state is located at Maine. Mira-su Thurston PA-C physically located at 7 Madelyn Ln, Rockport ME, 04856-4460. NPI Number Mira-su Thurston PA-C has the Individual type.

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1992848352 NPI number is provided on an as is basis without warranty of any kind. 1992848352 is maintained by the National Plan & Provider Enumeration System. The contents of Mira-su Thurston PA-C are for informational purposes only.