Provider Demographics
NPI:1841297033
Name:HEBB, DONALD BRUCE III (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:BRUCE
Last Name:HEBB
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1620 NOOSENECK HILL RD
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-6705
Mailing Address - Country:US
Mailing Address - Phone:401-821-6981
Mailing Address - Fax:401-821-1352
Practice Address - Street 1:1620 NOOSENECK HILL RD
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-6705
Practice Address - Country:US
Practice Address - Phone:401-821-6981
Practice Address - Fax:401-821-1352
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
RIMD10397207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI04-06105OtherUNITED HEALTH CARE
RI22653-001OtherBLUE CROSS
RICP46184Medicaid
RICP46184Medicaid
H24613Medicare UPIN