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Individual

RICHARD C. WORLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 OLD MILL CIR, JOPLIN, MO 64804-5804
(417) 437-2712
(417) 627-0130
Mailing address
1 OLD MILL CIR, JOPLIN, MO 64804-5804
(417) 437-2712
(417) 627-0130

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
111469
MO
367500000X
Certified Registered Nurse Anesthetist
55052
KS
367500000X
Certified Registered Nurse Anesthetist
CO1214
AR
367500000X
Certified Registered Nurse Anesthetist
R0073155
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
912886629
MO
Enumeration date
08/12/2005
Last updated
05/20/2008
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