Most Relevant Information
Provider Data
| NPI Number: | 1003027509 |
| Provider Name: | AMANDA GAIL QUERRY D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | DO2631 |
Most Important Dates
| Enumeration Date: | 05/25/2007 |
| Last Updated: | 04/10/2020 |
Provider Practice Location
417 STATE ST
WEBBER WEST, SUITE 141
BANGOR
ME
044016630
Practice Location Phone/Fax
| Phone: | 2079734670 |
| Fax: | 2079734669 |
Provider Mailing Location
43 WHITING HILL RD STE 300
BREWER
ME
044121006
Provider Mailing Phone/Fax
| Phone: | 2079734670 |
| Fax: | 2079734669 |