Individual
MR. DOUGLAS PORTER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16 HOSPITAL DRIVE, YORK, ME 03909
(207) 363-3700
Mailing address
15 HOSPITAL DR, MEDICAL STAFF OFFICE, YORK, ME 03909-1011
(207) 351-2478
(207) 351-2153
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-625
ME
Other
Enumeration date
12/19/2006
Last updated
03/26/2013
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