ETHAN CRIDER

COLUMBIA, MO
NPI1326498437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: MO  2016017341)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MO  2016017341)
Enumeration Date2016-06-20
Last Update Date2020-05-28
Business Address
ETHAN CRIDER
1 HOSPITAL DR
COLUMBIA, MO 65212-1000
Phone number: 573-884-9066
Mailing Address
ETHAN CRIDER
1 HOSPITAL DR
COLUMBIA, MO 65212-1000
Phone number: 573-884-1606