Individual
DYLAN JAMES CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9 HEALTHCARE DR STE 202, BIDDEFORD, ME 04005-9450
(207) 283-1427
(207) 294-3554
Mailing address
9 HEALTHCARE DR STE 202, BIDDEFORD, ME 04005-9450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6799
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3125653
—
NH
Enumeration date
06/21/2018
Last updated
10/19/2024
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