Individual
DR. VIRGINIA GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
663 STILLWATER AVE, BANGOR, ME 04401-3642
(207) 262-7192
Mailing address
PO BOX 421, WINTERPORT, ME 04496-0421
(207) 223-5555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT869
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022304
ANTHEM
ME
Enumeration date
08/13/2006
Last updated
09/27/2012
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