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Individual

COREY WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
133 CORPORATE DR, BANGOR, ME 04401-4312
(207) 275-4201
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA509
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254370099
ME
Enumeration date
08/05/2006
Last updated
04/01/2020
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