JERRY T STALEY

AUGUSTA, ME
NPI1144256843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MO  2002023337)
Enumeration Date2006-06-24
Last Update Date2007-11-06
Business Address
-- JERRY T STALEY MD
55 MIDDLE ST
AUGUSTA, ME 04330-5728
Phone number: 207-629-9488
Mailing Address
-- JERRY T STALEY MD
55 MIDDLE ST
AUGUSTA, ME 04330-5728
Phone number: 207-629-9488