Organization
PRECISION PAIN TREATMENT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH PERRY MD (MD)
(401) 231-0060
Entity
Organization
Contact information
Practice address
14 CEDAR SWAMP RD, SMITHFIELD, RI 02917-2448
(401) 231-0060
(401) 231-0064
Mailing address
14 CEDAR SWAMP RD, SMITHFIELD, RI 02917-2448
(401) 231-0060
(401) 231-0064
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548214141
INDIVIDUAL NPI
RI
Enumeration date
06/18/2014
Last updated
09/03/2014
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