Individual provider · NPI-1

Vance M Brown, MD

Family Medicine · Scarborough, ME

NPI number1467566604
StatusActive
Last updated in NPPESApr 16, 2012

Details

NPI
1467566604
Entity type
Individual (NPI-1)
Name
Vance M Brown
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 17, 2006
Last updated
Apr 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD18087MEYes
207Q00000X Family Medicine35077106BOH

Practice location

96 Campus Dr
Suite 2c
Scarborough, ME 04074-7163

Phone 207-883-7926 · Fax 207-883-1925

Mailing address

301c Us Route 1
Scarborough, ME 04074-9701

Phone 207-396-8600 · Fax 207-396-8632

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