Individual
RICKARD L WALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083895
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912749017
—
MO
Enumeration date
04/17/2006
Last updated
08/09/2013
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