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Individual

AARON A TEBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 MAIN STREET, LEWISTON, ME 04240-7027
(207) 795-8320
(207) 795-8329
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
018151
ME
207L00000X
Anesthesiology Physician
35292
AZ
207L00000X
Anesthesiology Physician
48067
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105143
AZ
Enumeration date
01/23/2006
Last updated
03/27/2015
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