Individual
BOBAK AHOURAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 490-7000
(207) 490-7002
Mailing address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 490-7000
(207) 490-7002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2640
ME
Other
Enumeration date
01/04/2024
Last updated
02/10/2025
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