Derek Randall Jenkins M.D.

NPI 1669613907 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1669613907
Gender Male
Enumeration Date 03/17/2009
Last Updated 01/19/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
100 BUTLER DR
PROVIDENCE RI, 02906-4862, US
Phone (401) 453-9032
Fax (401) 861-5812
Business Location
PO BOX 1119
PROVIDENCE RI, 02901-1119, US
Phone (401) 453-9032
Fax (401) 861-5812
Toxanomy
Taxonomy Code 207X00000X
License State Minnesota
License Number 55660
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According to our database, Derek Randall Jenkins M.D. NPI is 1669613907, taxonomy code is 207X00000X and license number is 55660, license state is located at Minnesota. Derek Randall Jenkins M.D. physically located at 100 Butler Dr, Providence RI, 02906-4862. NPI Number Derek Randall Jenkins M.D. has the Individual type.

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1669613907 NPI number is provided on an as is basis without warranty of any kind. 1669613907 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Randall Jenkins M.D. are for informational purposes only.