Whalio Doctors

NPI 1013296722

Dallas R Marquis, PAC

Practitioner Medical Physician Assistant Auburn, ME

Practice location

Address
2 Great Falls Plz STE 21, Auburn, ME 04210-5966
Phone
(207) 330-3950
Fax
(207) 330-3955
Mailing address
C/O St Marys Health System - Provider Enrollment PO Box 7291, Lewiston, ME 04243-7291

Registered specialties (2)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA1298 (ME)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI
1013296722
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Aug 2011
Record last updated
3 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.