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Ian Paul Krouson, PA
Medical Physician Assistant in Providence, Rhode Island
NPI 1790744381

Ian Paul Krouson is a Medical Physician Assistant based in Narragansett, RI and is specialized in Medical. Ian Paul Krouson practices in Providence, RI and has the professional credentials of PA. The NPI Number for Ian Paul Krouson is 1790744381 and holds a License No. 00398 (Rhode Island).

The current practice location address for Ian Paul Krouson is 1195 N Main St, Providence, RI and can be reached out via phone at 401-861-3782 and via fax at 401-383-5846.

Location: 1195 N Main St, Providence, RI, 02882-2870
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Provider Profile Details
NPI Number
1790744381
Provider Name
Ian Paul Krouson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1195 N Main St, Providence, RI, 02882-2870
Phone Number
401-861-3782
Fax Number
401-383-5846
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA00398 01 RI RI LICENSE PA#
institution
Provider Business Practice Location Address Details
Address
1195 N Main St
City
State
Zip
02904-1824
Phone Number
401-861-3782
Fax Number
401-383-5846
person
Provider Business Mailing Address Details
Address
1195 N Main St
City
State
Zip
02904-1824
Phone Number
401-861-3782
Fax Number
401-383-5846
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
00398 (Rhode Island)
Definition
Definition to come...
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