Individual provider · Type 1 NPI

Cody Mauch

Surgical Physician Assistant · Portland, ME

NPI number 1083161822 Active

Practice location

818 Congress St
Portland, ME 04102-3112

Call (207) 773-8161 Map

Mailing address

8 Simonton St
South Portland, ME 04106-3132

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA1645 (ME)
Surgical Physician Assistant Primary 363AS0400XPA1645 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1083161822

Cody Mauch's National Provider Identifier is 1083161822, issued on Sep 9, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, ME. The record was last updated on Jul 23, 2024.