Individual
MS. ALLISON L. BAYSOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
PA1575
ME
363A00000X
Physician Assistant
PA4929
MA
363A00000X
Physician Assistant
PA4929
ME
363AM0700X
Medical Physician Assistant
PA1575
ME
363AS0400X
Surgical Physician Assistant
Primary
PA1575
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023433000
—
ME
Enumeration date
02/27/2014
Last updated
07/02/2024
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