| NPI | 1629257159 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VANCE A ALOUPIS President 207-947-6508  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME R024428)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: ME 014706)  | 
| 173000000X Legal Medicine (Licence: ME 007472)  | |
| 291U00000X Clinical Medical Laboratory (Licence: ME 20d0684479)  | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: ME AP081724)  | |
| Enumeration Date | 2007-11-01 | 
| Last Update Date | 2013-07-09 |