Individual
SONYA D DICIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
225 PHYSICIANS PARK, SUITE 400, POPLAR BLUFF, MO 63901-3956
(573) 727-5500
(573) 727-5599
Mailing address
225 PHYSICIANS PARK, SUITE 400, POPLAR BLUFF, MO 63901-3956
(573) 727-5500
(573) 727-5599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
093231
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428892707
—
MO
Enumeration date
05/30/2006
Last updated
01/09/2014
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