Individual
RICHARD A ST. DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10 WOODLAND DR, COVENTRY, RI 02816-6716
(401) 826-2000
Mailing address
PO BOX 62939, BALTIMORE, MD 21264-1551
(859) 291-4800
(833) 694-1507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001203
CT
363A00000X
Physician Assistant
Primary
PA00503
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RS77579
—
RI
Enumeration date
07/07/2006
Last updated
09/28/2023
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