NPI 1477065118

The University of Rhode Island

Organisation General Practice Physician Kingston, RI

Practice location

Address: 3 Keaney Road Suite 1, Kingston, RI 02881
Phone: (972) 367-4845
Mailing address: 5050 Spring Valley Rd, Dallas, TX 75244-3995

Authorised official

Name: Mouzon Bass
Title: Agent
Phone: (972) 367-4845

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence DO00893 (RI)

Other General Practice providers in Rhode Island →

Registry record

NPI: 1477065118
Entity type: Organization
NPI issued: 3 Nov 2017
Record last updated: 3 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.