Individual
REBECCA DAWN FEVURLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
417 STATE ST, SUITE 340 WEBBER WEST, BANGOR, ME 04401-6630
(303) 315-7424
Mailing address
417 STATE ST, SUITE 340 WEBBER WEST, BANGOR, ME 04401-6630
(303) 315-7424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
243720
MA
208600000X
Surgery Physician
Primary
MD21268
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2008
Last updated
09/12/2016
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