NPI | 1306879242 |
---|---|
Other Name | RICHARD A ST. DENNIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00503) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001203) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2023-09-28 |