Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN R THEROUX, PA
ActiveMR. BRIAN R THEROUX, PA is a Medical Physician Assistant healthcare provider located in E GREENWICH, Rhode Island. NPI 1275546277 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · E GREENWICH, RI
Registration Details
- NPI Number
- 1275546277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (19.995909805386 yrs)
- Last Updated
- Jun 27, 2012
- License
-
PA00289 (RI)
Practice Information
- Address
-
1672 S COUNTY TRLSTE 101E GREENWICH, RI, 028185098Browse RI providers · Browse ZIP 02818
- Phone
- 4018857546
- Fax
- 4018856658
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.