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Individual

DR. RYAN ANDREW LEGRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
211 SAINT FRANCIS DR, SUITE 1222, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3993
(573) 331-5789
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(813) 262-8160
(813) 891-9066

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2011010501
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568591329
MO
Enumeration date
03/05/2007
Last updated
02/16/2015
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