Individual
DR. CHARLES A BEVAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MAIN ST, DEPT OF EMERGENCY MEDICINE, LEWISTON, ME 04240-7027
(207) 795-2200
Mailing address
300 MAIN ST, DEPT OF EMERGENCY MEDICINE, LEWISTON, ME 04240-7027
(207) 795-2200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51054
TN
207P00000X
Emergency Medicine Physician
Primary
MD20624
ME
208D00000X
General Practice Physician
01065537A
IN
Other
Enumeration date
02/04/2008
Last updated
11/12/2025
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