Individual
JOHN R MINAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSRS I, EMT-B
Contact information
Practice address
20 PORTSMOUTH AVE, STRATHAM, NH 03885-6528
(603) 583-5119
Mailing address
20 PORTSMOUTH AVE, STRATHAM, NH 03885-6528
(603) 583-5119
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
NA
NH
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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