MARK D GOODE

PORTLAND, ME
NPI1790018414
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ME  PA001177)
Enumeration Date2009-09-14
Last Update Date2011-01-10
Business Address
-- MARK D GOODE PA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2661
Mailing Address
-- MARK D GOODE PA
301 US ROUTE 1 BUILDING C
SCARBOROUGH, ME 04074-7609
Phone number: 207-396-8600