Individual
STEVEN ALAN DENOMME
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-6104
Mailing address
236 WORDEN ST, PORTSMOUTH, RI 02871-6217
(401) 683-6150
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
171010L1002X
RI
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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