Individual provider · Type 1 NPI

Mira-Su Thurston, PA-C

Medical Physician Assistant · Rockport, ME

NPI number 1992848352 Active

About NPI 1992848352

Mira-Su Thurston, PA-C's National Provider Identifier is 1992848352, issued on Feb 15, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockport, ME. The record was last updated on Jun 25, 2013.