Individual
SAMUEL HARCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
15 ENTERPRISE DR STE 100, AUGUSTA, ME 04330-7998
(207) 621-8700
Mailing address
16 FOREST AVE, CUMBERLAND, ME 04021-3008
(512) 748-6052
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2976
ME
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
01/14/2026
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