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NPI Code Detail

MEDICARE: MICHAEL RICE PA-C

MEDICARE: MICHAEL RICE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA350ME

General Provider Information

NPI Number : 1184762395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL RICE PA-C
Provider Business Mailing Address
First Line : 9 GLENRIDGE DR
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-6605
Country : US
Telephone Number : 207-623-8434
Fax Number : 207-621-4370
Provider Business Practice Location Address
First Line : 9 GLENRIDGE DR
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-6605
Country : US
Telephone Number : 207-623-8434
Fax Number : 207-621-4370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 07/08/2007

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Directions to “ MICHAEL RICE PA-C” Practice Location

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