Individual
MR. RICHARD SCOTT CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2400 LUCY LEE PKWY, POPLAR BLUFF, MO 63901-2429
(573) 686-1133
Mailing address
2520 VALLEY CRST, POPLAR BLUFF, MO 63901-2329
(573) 778-0352
(573) 686-3312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2000162045
MO
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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