Individual
RANDALL J CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E PRIMROSE ST, SPRINGFIELD, MO 65807-5154
(417) 269-3319
(417) 875-3490
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
(417) 269-3319
(417) 875-3490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1G20
MO
Other
Enumeration date
06/16/2006
Last updated
06/19/2024
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