Individual
RICHARD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
110872
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915170104
—
MO
Enumeration date
01/14/2007
Last updated
04/11/2012
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