Individual
DAVID M. CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 262-1464
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
011725
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018097
ANTHEM
ME
05
—
30201118
—
NH
01
—
3240685
AETNA
ME
05
—
325140099
—
ME
01
—
AA16127
HPHC
ME
01
—
M52543
CIGNA
ME
Enumeration date
11/14/2006
Last updated
07/28/2009
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