Stillwater Primary Care Ltd
NPI #1174141345 in Chepachet, Rhode Island
Provider Information
- NPI Number
- 1174141345
- Entity Type
- Organization
- Organization Name
- Stillwater Primary Care Ltd
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 14, 2020
- Last Updated
- Sep 2, 2021
Practice Location
- Address
- 712 PUTNAM PIKE UNIT 2
- City
- Chepachet
- State
- Rhode Island
- ZIP Code
- 02814-1404
- Phone
- (401) 710-4280
Authorized Official
- Name
- MR. JOSEPH DESROSIERS II, PA-C
- Title
- PRESIDENT
- Phone
- (401) 710-4280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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