Individual
ERIC DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-8700
(207) 621-8701
Mailing address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-8700
(207) 621-8701
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1531
ME
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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