ERIC A BEAVER

PORTLAND, ME
NPI1023479136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA1598)
Enumeration Date2016-03-16
Last Update Date2017-04-25
Business Address
-- ERIC A BEAVER PA-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2934
Mailing Address
-- ERIC A BEAVER PA-C
190 RIVERSIDE ST SUITE 6B
PORTLAND, ME 04103-1073
Phone number: 207-661-2000