Individual
MR. REX A HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 BRAMHALL STREET, PORTLAND, ME 04102
(207) 662-2526
(207) 662-6236
Mailing address
301C US ROUTE ONE, MAINE MEDICAL PARTNERS, SCARBOROUGH, ME 04074
(207) 396-8600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R-154156-8
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R187952
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027768100
—
MD
05
—
413171100
—
MN
Enumeration date
02/16/2006
Last updated
08/05/2014
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