Individual
JUSTIN D ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 992-4032
(207) 992-4034
Mailing address
141 N MAIN ST, STE # 205, BREWER, ME 04412-2011
(207) 992-4032
(207) 992-4034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA123009
ME
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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