Individual
ALEXANDRIA MICKENZIE BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
887 CONGRESS ST STE 200, PORTLAND, ME 04102-3166
(207) 771-5549
Mailing address
100 N ACADEMY AVE DEPT OF, DANVILLE, PA 17822-9800
(443) 722-3488
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
23858
NH
207VM0101X
Maternal & Fetal Medicine Physician
DO-04699
IA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
DO2906
ME
Other
Enumeration date
04/01/2011
Last updated
04/23/2024
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