| |
133 Corporate Drive Suite 5 Bangor ME 04401 | |
(207) 990-0864 | |
(207) 990-5586 |
Full Name | |
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Speciality | Family Medicine |
Location | 133 Corporate Drive, Bangor, Maine |
Authorized Official Name and Position | David L Savell (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2079427650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 921 Bangor ME 04401-0921 Ph: (207) 990-0864 | 133 Corporate Drive Suite 5 Bangor ME 04401 Ph: (207) 990-0864 |
NPI Number | 1437242294 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 01/21/2009 |
Identifier | Type | State | Issuer |
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1437242294 | NPI | - | NPPES |
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