Individual
ROGER RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNP
Contact information
Practice address
2002 KANELL BLVD, POPLAR BLUFF, MO 63901-4045
(573) 778-0020
(573) 776-7548
Mailing address
PO BOX 989, POPLAR BLUFF, MO 63902-0989
(573) 778-0020
(573) 776-7548
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
146182
MO
Other
Enumeration date
01/22/2007
Last updated
02/27/2012
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