MR. Brian R Theroux, PA

NPI #1275546277 in E Greenwich, Rhode Island

Provider Information

NPI Number
1275546277
Entity Type
Individual
Name
MR. Brian R Theroux, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Aug 14, 2006
Last Updated
Jun 27, 2012

Practice Location

Address
1672 S COUNTY TRL
Address 2
STE 101
ZIP Code
02818-5098
Phone
(401) 885-7546

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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