Individual
BRENT A ALBRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA801
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538231725
ANTHEM
ME
05
—
1538231725
—
ME
01
—
7955852
AETNA
ME
Enumeration date
11/14/2006
Last updated
05/07/2013
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