Individual
MS. GRETCHEN E PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5770
(573) 331-3974
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008022586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-8535
RH MEDICARE
MO
01
—
26D0889777
CLIA
MO
01
—
597780303
RH MEDICAID
MO
Enumeration date
07/29/2010
Last updated
02/24/2021
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