Individual
MS. STEPHANIE M MACLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 WAKE ROBIN RD, LINCOLN, RI 02865-4294
(401) 475-9140
Mailing address
3 WAKE ROBIN RD, LINCOLN, RI 02865-4294
(401) 475-9140
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C5-0000430
DE
Other
Enumeration date
07/16/2006
Last updated
11/16/2012
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