Crystal Lee Macclintock, RPA-C

NPI #1700024783 in Dover Foxcroft, Maine

Provider Information

NPI Number
1700024783
Entity Type
Individual
Name
Crystal Lee Macclintock, RPA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
RPA-C
Enumeration Date
Jan 28, 2009
Last Updated
Dec 23, 2020

Practice Location

Address
891 W MAIN ST
Address 2
SUITE 200
State
Maine
ZIP Code
04426-1059
Phone
(207) 564-4464

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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