Individual
MS. MARTHA MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
324 GANNETT DR, SUITE 200, SOUTH PORTLAND, ME 04106-3270
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA585
ME
Other
Enumeration date
06/08/2006
Last updated
03/19/2019
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