Individual
RICKEY D ALBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., C.R.N.A.
Contact information
Practice address
3045 S NATIONAL AVE, SUITE 100, SPRINGFIELD, MO 65804-4247
(417) 882-1900
(417) 882-1966
Mailing address
3045 S NATIONAL AVE, SUITE 100, SPRINGFIELD, MO 65804-4247
(417) 882-1900
(417) 882-1966
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
058813
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058813
STATE LICENSE
MO
Enumeration date
12/27/2005
Last updated
11/26/2007
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