Individual
ROBERT J POOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 774-2642
(207) 774-4293
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA635
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30339347
—
NH
Enumeration date
07/18/2011
Last updated
11/26/2014
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