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Organization

VANCE A ALOUPIS MDPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VANCE A ALOUPIS MD (PRESIDENT)
(207) 947-6508
Entity
Organization

Contact information

Practice address
792 STATE ST, BANGOR, ME 04401-5610
(207) 947-6508
Mailing address
792 STATE ST, BANGOR, ME 04401-5610
(207) 947-6508

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
007472
ME
174400000X
Specialist
014706
ME
291U00000X
Clinical Medical Laboratory
20D0684479
ME
363AS0400X
Surgical Physician Assistant
Primary
R024428
ME
363LW0102X
Women's Health Nurse Practitioner
AP081724
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25765
ANTHEM
ME
Enumeration date
11/01/2007
Last updated
07/09/2013
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