Individual provider · Type 1 NPI

Brian R. Theroux, PA

Medical Physician Assistant · East Greenwich, RI

NPI number 1275546277 Active

Practice location

1672 S County Trl, Ste 101
East Greenwich, RI 02818-5098

Fax (401) 885-6658

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00289 (RI)

Medical Physician Assistant: Definition to come...

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About NPI 1275546277

Brian R. Theroux, PA's National Provider Identifier is 1275546277, issued on Aug 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Greenwich, RI. The record was last updated on Jun 27, 2012.