Individual
RICHARD C DORE'
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
1212 WEBER RD, FARMINGTON, MO 63640-3325
(573) 756-4581
Mailing address
908 GREEN BRIAR DR, FARMINGTON, MO 63640-7160
(573) 756-4581
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
111287
MO
Other
Enumeration date
05/20/2006
Last updated
03/17/2008
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