Individual
DR. CONNER RICHARD CRUMBLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1602 W 15TH AVE, EMPORIA, KS 66801-9803
(620) 342-6989
Mailing address
PO BOX 207293, DALLAS, TX 75320-7293
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2159
KS
Other
Enumeration date
09/07/2021
Last updated
05/26/2022
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