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Individual

DR. EDWARD SCOTT PAXTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 457-2157
(401) 457-2141
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 457-2157
(401) 457-2141

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14290
RI
207X00000X
Orthopaedic Surgery Physician
2007017133
MO

Other

Enumeration date
08/07/2007
Last updated
07/25/2013
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