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NPI Code Detail

MEDICARE: AARON A TEBBS MD

MEDICARE:   AARON A TEBBS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician018151ME
2207L00000XAnesthesiology Physician48067MN
3207L00000XAnesthesiology Physician35292AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255301479
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON A TEBBS MD
Provider Business Mailing Address
First Line : PO BOX 1849
Second Line :
City : LEWISTON
State : ME
Zip : 04241-1849
Country : US
Telephone Number : 207-784-2554
Fax Number : 207-777-5363
Provider Business Practice Location Address
First Line : 300 MAIN STREET
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7027
Country : US
Telephone Number : 207-795-8320
Fax Number : 207-795-8329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 03/27/2015

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Directions to “ AARON A TEBBS MD” Practice Location

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