Individual
RICHARD LEE BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
417 SCORPIO ST, MISSION, TX 78572-6521
(956) 583-4424
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-RN R011973
SD
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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