Individual
MR. RICHARD RILEY CIZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 RIDGEWAY ST, GERONIMO, OK 73543-9793
(580) 574-4789
Mailing address
707 RIDGEWAY ST, GERONIMO, OK 73543-9793
(580) 574-4789
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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