Individual
DR. CHERYLL DARLINE RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2002 KANELL BLVD STE 103, POPLAR BLUFF, MO 63901-4042
(573) 727-9130
(573) 727-9128
Mailing address
2002 KANELL BLVD STE 103, POPLAR BLUFF, MO 63901-4042
(573) 727-9130
(573) 727-9128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
117036
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164720
BLUE CROSS-BLUE SHIELD
MO
05
—
204689012
—
MO
01
—
2253997
UNITED HEALTH CARE
MO
01
—
520943
HEALTHLINK
MO
Enumeration date
09/08/2006
Last updated
04/12/2018
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