Individual
COURTNEY C. MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 CAPTAINS LNDG, PORTLAND, ME 04102-1961
(207) 831-5169
Mailing address
15 CAPTAINS LNDG, PORTLAND, ME 04102-1961
(207) 831-5169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1418
ME
Other
Enumeration date
07/25/2013
Last updated
04/17/2014
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