Ms. TRACY M BENNETT P.A.-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1457560419- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.-C
- Status
- Active
Contact & Location
- Address
- 360 BROADWAY, BANGOR, ME, 044013900
- Phone
- (207) 907-3650
- Fax
- (207) 907-3660
Specialties & Taxonomies
Physician Assistant
Primary License: ME #PA1097
All Addresses
MAILING
C/OST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME, 042437291