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Individual

MR. RICHARD SISKA SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NMAA, MIS

Contact information

Practice address
1605 MARTIN SPRINGS DR, STE 110, ROLLA, MO 65401-2982
(573) 458-6614
Mailing address
106 FINCH DR, STRAFFORD, MO 65757-8930
(417) 299-0249

Taxonomy

Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary

Other

Enumeration date
02/10/2017
Last updated
02/10/2017
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