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Mr. Phathsady Louangxay, PA
Medical Physician Assistant in Providence, Rhode Island
NPI 1174586671

Phathsady Louangxay is a Medical Physician Assistant based in Rumford, RI and is specialized in Medical. Phathsady Louangxay practices in Providence, RI and has the professional credentials of PA. The NPI Number for Phathsady Louangxay is 1174586671 and holds a License No. 00356 (Rhode Island).

The current practice location address for Phathsady Louangxay is 164 Summit Ave # C70, Providence, RI and can be reached out via phone at 401-793-4545 and via fax at 401-793-7866. You can also correspond with Phathsady Louangxay through the mailing address at PO BOX 16149, RUMFORD, RI - 02916-0697 (mailing address contact number: 401-453-9625).

Location: 164 Summit Ave # C70, Providence, RI, 02916-0697
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Provider Profile Details
NPI Number
1174586671
Provider Name
Phathsady Louangxay
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
164 Summit Ave # C70, Providence, RI, 02916-0697
Phone Number
401-793-4545
Fax Number
401-793-7866
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396864542 01 RI NPI KENT HOSPITAL PBO
9004070 05 RI
institution
Provider Business Practice Location Address Details
Address
164 Summit Ave # C70
City
State
Zip
02906-2853
Phone Number
401-793-4545
Fax Number
401-793-7866
person
Provider Business Mailing Address Details
Address
Po Box 16149
City
State
Zip
02916-0697
Phone Number
401-453-9625
Fax Number
401-435-7069
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
00356 (Rhode Island)
Definition
Definition to come...
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