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1033180120
RODERIC CLAYTON CRIST
CAPE GIRARDEAU, MO
NPI
1033180120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO R2H52)
Enumeration Date
2006-01-28
Last Update Date
2011-08-11
Business Address
Dr. RODERIC CLAYTON CRIST MD
3095 LEXINGTON AVE SUITE 200
CAPE GIRARDEAU, MO 63701-2602
Phone number: 573-339-0004
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Mailing Address
Dr. RODERIC CLAYTON CRIST MD
3095 LEXINGTON AVE SUITE 200
CAPE GIRARDEAU, MO 63701-2602
Phone number: 573-339-0004
Copy
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