Revaz Boukia, PA-C
NPI #1144638859 in Lincoln, Maine
Provider Information
- NPI Number
- 1144638859
- Entity Type
- Individual
- Name
- Revaz Boukia, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 25, 2014
- Last Updated
- Jul 25, 2014
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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