Meredith Beauregard, PA

NPI #1013967918 in Portland, Maine

Provider Information

NPI Number
1013967918
Entity Type
Individual
Name
Meredith Beauregard, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
May 11, 2006
Last Updated
Jan 3, 2011

Practice Location

Address
22 BRAMHALL ST
Address 2
PAVILION 1203
State
Maine
ZIP Code
04102
Phone
(207) 662-4618

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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