Individual
LESLIE ROUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
010222
ME
2085R0202X
Diagnostic Radiology Physician
Primary
MD019570E
PA
Other
Enumeration date
12/29/2005
Last updated
11/13/2024
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