TRACY M BENNETT

BANGOR, ME
NPI1457560419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA1097)
Enumeration Date2007-05-22
Last Update Date2022-02-03
Business Address
Ms. TRACY M BENNETT P.A.-C
360 BROADWAY
BANGOR, ME 04401-3900
Phone number: 207-907-3650
Mailing Address
Ms. TRACY M BENNETT P.A.-C
C/OST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8560
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