Individual
RODERICK A FORREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4 SHERIDAN RD, FAIRFIELD, ME 04937-3314
(207) 861-5000
(207) 861-5001
Mailing address
4 SHERIDAN RD, FAIRFIELD, ME 04937-3314
(207) 861-5000
(207) 861-5001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-315
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320120099
—
ME
Enumeration date
03/14/2006
Last updated
07/03/2008
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