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1548624414
DEREK BUNCH
PORTLAND, ME
NPI
1548624414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: ME DO3480)
Enumeration Date
2016-04-07
Last Update Date
2023-05-31
Business Address
DEREK BUNCH
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2526
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Mailing Address
DEREK BUNCH
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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