Individual
TYLER LEE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
925 UNION ST STE 3, BANGOR, ME 04401-3051
(207) 974-7400
Mailing address
66 CHARLES ST, BANGOR, ME 04401-4651
(207) 592-5580
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
AT662
ME
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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