Individual
DOUGLAS M MORONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
376 MAIN ST, JACKMAN, ME 04945-5214
(207) 668-2691
(207) 668-7605
Mailing address
376 MAIN ST, JACKMAN, ME 04945-5214
(207) 668-2691
(207) 668-7605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-503
ME
Other
Enumeration date
05/16/2006
Last updated
07/03/2008
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