Rhode Island Sports Medicine | |
3 Keaney Road Suite 1 Kingston RI 02881 | |
(972) 367-4845 | |
Not Available |
Full Name | Rhode Island Sports Medicine |
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Speciality | General Practice |
Location | 3 Keaney Road, Kingston, Rhode Island |
Authorized Official Name and Position | Mouzon Bass (AGENT) |
Authorized Official Contact | 9723674845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rhode Island Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: () - | Rhode Island Sports Medicine 3 Keaney Road Suite 1 Kingston RI 02881 Ph: (972) 367-4845 |
NPI Number | 1477065118 |
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Provider Enumeration Date | 11/03/2017 |
Last Update Date | 11/03/2017 |
Identifier | Type | State | Issuer |
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1477065118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | DO00893 (Rhode Island) | Primary |
Uri Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Butterfield Road, Potter Building, Kingston, RI 02881 Phone: 401-874-5155 Fax: 401-874-2586 |