| Riverrun Medical Offices | |
|
63 S Main St Lower Level Hanover NH 03755-2072 | |
| (603) 643-7733 | |
| (603) 643-7703 |
| Full Name | Riverrun Medical Offices |
|---|---|
| Speciality | Clinic/center |
| Location | 63 S Main St, Hanover, New Hampshire |
| Authorized Official Name and Position | Daniel Wolfe Collison (MANAGER) |
| Authorized Official Contact | 6036437733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverrun Medical Offices 63 S Main St Lower Level Hanover NH 03755-2072 Ph: (603) 643-7733 | Riverrun Medical Offices 63 S Main St Lower Level Hanover NH 03755-2072 Ph: (603) 643-7733 |
| NPI Number | 1053384743 |
|---|---|
| Provider Enumeration Date | 02/11/2006 |
| Last Update Date | 02/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053384743 | NPI | - | NPPES |
| 1012208 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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