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Individual

ALAN G WHITE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
50 SEWALL ST, PORTLAND, ME 04102-2624
(207) 775-3526
(207) 775-5658
Mailing address
50 SEWALL ST, PORTLAND, ME 04102-2624
(207) 775-3526
(207) 775-5658

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-404
ME

Other

Enumeration date
06/06/2006
Last updated
07/08/2007
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