Provider Demographics
NPI:1366732331
Name:ARGO, JONATHAN RHETT (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:RHETT
Last Name:ARGO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:117 ELLENFIELD ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4513
Mailing Address - Country:US
Mailing Address - Phone:401-444-6779
Mailing Address - Fax:401-444-6912
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:DAVOL 129
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-5172
Practice Address - Fax:401-444-5090
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2023-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIMD15550207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1366732331Medicaid
RI1366732331Medicaid