Individual
BROOKE A. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
47 MAIN ST, COOPERS MILLS, ME 04341-4047
(207) 549-7581
(207) 549-3439
Mailing address
PO BOX 727, WATERVILLE, ME 04903-0727
(207) 549-7581
(207) 549-3439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1489
ME
363AM0700X
Medical Physician Assistant
PA1489
ME
363AS0400X
Surgical Physician Assistant
PA1489
ME
Other
Enumeration date
10/09/2014
Last updated
04/07/2023
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