Individual
JAMES RICHARD RISNEY
Active
Individual
JAMES RICHARD RISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA0000000411
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3701830
—
TN
01
—
TN0104
JOHN DEERE HEALTHCARE
—
Enumeration date
11/04/2005
Last updated
12/10/2012
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