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Individual

ROBERT MONTAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
3 LEEMAN ST, PORTLAND, ME 04103-2420
(406) 407-2807

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA213065
ME
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/31/2019
Last updated
10/12/2021
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