Individual
RICHARD A HUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1430 OLIVE ST, SUITE 100, SAINT LOUIS, MO 63103-2303
(314) 645-3840
(314) 548-6997
Mailing address
6651 CHIPPEWA ST, SUITE 224, SAINT LOUIS, MO 63109-2538
(314) 645-3840
(314) 549-6997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
146583
MO
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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