Individual
ORRIN D RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1723 BROADWAY, SUITE 410, CAPE GIRARDEAU, MO 63701-4556
(573) 332-7746
(573) 339-9709
Mailing address
201 PLAZA DR, STE A, SIKESTON, MO 63801-5110
(573) 332-7746
(573) 339-9709
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2015012669
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015012669
MO STATE LICENSE
MO
Enumeration date
04/30/2015
Last updated
04/20/2016
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