Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | DO00770 | RI |
Y | 111NI0900X | Internist | DO00770 | RI |
NPI | 1003102302 |
---|---|
Provider Name | Christopher Donald Palmer |
First Address | Warwick, RI 02886-2759 |
Second Address | Providence, RI 02905-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2011 |
Last Update Date | 10/07/2014 |