person
Mr. Norman Robert Mallory, PA-C
Medical Physician Assistant in Bangor, Maine
NPI 1710086608

Norman Robert Mallory is a Medical Physician Assistant based in Lewiston, ME and is specialized in Medical. Norman Robert Mallory practices in Bangor, ME and has the professional credentials of PA-C. The NPI Number for Norman Robert Mallory is 1710086608 and holds a License No. PA-692 (Maine).

The current practice location address for Norman Robert Mallory is 360 Broadway Ste 100, Bangor, ME and can be reached out via phone at 207-907-3550 and via fax at 207-907-3562. You can also correspond with Norman Robert Mallory through the mailing address at C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, LEWISTON, ME - 04243-7291 (mailing address contact number: 207-777-8941).

Location: 360 Broadway Ste 100, Bangor, ME, 04243-7291
person
Provider Profile Details
NPI Number
1710086608
Provider Name
Norman Robert Mallory
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
360 Broadway Ste 100, Bangor, ME, 04243-7291
Phone Number
207-907-3550
Fax Number
207-907-3562
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
360 Broadway Ste 100
City
State
Zip
04401-3979
Phone Number
207-907-3550
Fax Number
207-907-3562
person
Provider Business Mailing Address Details
Address
360 Broadway Ste 100
City
State
Zip
04401-3979
Phone Number
207-907-3550
Fax Number
207-907-3562
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-692 (Maine)
Definition
Definition to come...
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