Organization
MEDLAB792
Active
Other names
Vance A Aloupis MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANCE A ALOUPIS MD (PRESIDENT)
(207) 947-6805
Entity
Organization
Contact information
Practice address
792 STATE ST, BANGOR, ME 04401-5610
(207) 947-6508
(207) 941-8342
Mailing address
792 STATE ST, BANGOR, ME 04401-5610
(207) 947-6508
(207) 941-8342
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
20D0681466
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000390
ANTHEM
—
Enumeration date
09/16/2008
Last updated
09/16/2008
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