Individual
COURTNEY LEIGH MINZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 231-1033
Mailing address
8 TIMBER CREEK DR, BUXTON, ME 04093-3661
(207) 662-2934
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
04/07/2016
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