Individual
ALEX J BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175 W BROADWAY, LINCOLN, ME 04457-4000
(207) 794-6700
(207) 794-6777
Mailing address
175 W BROADWAY, PO BOX 99, LINCOLN, ME 04457-4000
(207) 794-6700
(207) 794-6777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
ME
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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