Individual
ALLYSON ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-8880
(207) 621-1881
Mailing address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-8880
(207) 621-1881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1827
ME
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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