SAMUEL RICHARD FORD

BANGOR, ME
NPI1265193148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ME  PA2618)
Enumeration Date2022-01-04
Last Update Date2024-12-12
Business Address
SAMUEL RICHARD FORD
925 UNION ST STE 3
BANGOR, ME 04401-3051
Phone number: 207-973-9980
Mailing Address
SAMUEL RICHARD FORD
925 UNION ST STE 3
BANGOR, ME 04401-3051
Phone number: