Individual
EMILY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401-3060
(207) 404-8200
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 404-8039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1814
ME
Other
Enumeration date
04/29/2014
Last updated
04/01/2021
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