Ian Penvose
NPI #1629658943 in Providence, Rhode Island
Provider Information
- NPI Number
- 1629658943
- Entity Type
- Individual
- Name
- Ian Penvose
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Apr 12, 2021
- Last Updated
- Jun 30, 2023
Practice Location
- Address
- 593 EDDY STREET
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903
- Phone
- (401) 444-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Orthopaedic Surgery |
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