NPI 1104957620

Russell D. Fiore, ATC

Practitioner Athletic Trainer Providence, RI

Practice location

Address: Brown University 235 Hope St, Providence, RI 02912-0001
Phone: (401) 863-3851
Fax: (401) 863-1156
Mailing address: 6 Red Chimney Dr, Lincoln, RI 02865-4610

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT00014 (RI)

Other Specialist/Technologist providers in Rhode Island →

Registry record

NPI: 1104957620
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2007
Record last updated: 8 Jul 2007

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.