NPI | 1730634254 |
---|---|
Other Name | DANIEL T SHREVE MD |
Entity Type | Organization |
Authorized Contact | DANIEL T SHREVE Physician 401-434-9100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD03558) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: RI MD03558) |
305S00000X Point of Service (Licence: RI MD03558) | |
Enumeration Date | 2016-08-25 |
Last Update Date | 2016-08-25 |