BRIAN CLANCY TULLOH

SOUTH PORTLAND, ME
NPI1972213148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA2930)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NH  2961)
363A00000X Physician Assistant
Enumeration Date2022-11-29
Last Update Date2025-09-03
Business Address
-- BRIAN CLANCY TULLOH PA-C
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106-2458
Phone number: 207-661-0200
Mailing Address
-- BRIAN CLANCY TULLOH PA-C
265 WESTERN AVE STE 2
SOUTH PORTLAND, ME 04106-2458
Phone number: 207-661-0200