Individual
STEPHANIE R RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3440 S NATIONAL AVE, SPRINGFIELD, MO 65807-7307
(417) 886-5444
Mailing address
3440 S NATIONAL AVE, SPRINGFIELD, MO 65807-7307
(417) 886-5444
(417) 725-0502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2019019321
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019019321
OPTOMETRIST
MO
Enumeration date
06/19/2019
Last updated
06/19/2019
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