Organization
STILLWATER PRIMARY CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DESROSIERS II PA-C (PRESIDENT)
(401) 710-4280
Entity
Organization
Contact information
Practice address
712 PUTNAM PIKE UNIT 2, CHEPACHET, RI 02814-1404
(401) 710-4280
(401) 710-4277
Mailing address
712 PUTNAM PIKE UNIT 2, CHEPACHET, RI 02814-1404
(401) 710-4280
(401) 710-4277
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
09/02/2021
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