Individual
MISS REBECCA SUZANNE PANASSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330
(207) 248-0060
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1919
ME
363A00000X
Physician Assistant
PA6145
MA
Other
Enumeration date
07/06/2017
Last updated
08/08/2019
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