Individual
MR. SETH D. BOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
455 TOLL GATE RD, ORTHOPEDICS & SPORTS MEDICINE, WARWICK, RI 02886-2759
(017) 292-8004
(401) 729-2877
Mailing address
455 TOLLGATE RD, PROFESSIONAL REVENUE CYCLE AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
055-0031089
VT
363A00000X
Physician Assistant
PA 4169
MA
363A00000X
Physician Assistant
Primary
PA01378
RI
Other
Enumeration date
02/21/2011
Last updated
07/09/2024
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