Individual
MR. RICHARD URBAIN SIROIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, LATC, CSCS
Contact information
Practice address
46 BRIARWOOD DRIVE, NEW GLOUCESTER, ME 04260
(207) 590-6082
Mailing address
46 BRIARWOOD DRIVE, NEW GLOUCESTER, ME 04260
(207) 590-6082
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT227
ME
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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