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DESYRAE RIDENOUR
Physician Assistant
NPI: 1891557575IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
2024003095(MO)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 960 E WALNUT LAWN ST STE 201
SPRINGFIELD, MO 65807 - Phone
- (417) 269-4450
Quick Facts
- NPI
- 1891557575
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 3
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