Individual
MR. MARK CHRISTIAN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003903
CT
363AM0700X
Medical Physician Assistant
003903
CT
363AM0700X
Medical Physician Assistant
Primary
PA2281
ME
363AS0400X
Surgical Physician Assistant
003903
CT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/21/2017
Last updated
02/02/2022
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