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Individual

ASHISH RISAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
181 N KENTUCKY AVE STE 100, WEST PLAINS, MO 65775-2092
(417) 257-6786
Mailing address
181 N KENTUCKY AVENUE, STE 100, WEST PLAINS, MO 65775-5504
(417) 257-6786

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2014023817
MO
282N00000X
General Acute Care Hospital

Other

Enumeration date
01/18/2013
Last updated
06/30/2017
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