RICHARD LEE BRISCOE

FORT MEADE, SD
NPI1417012527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SD  SD-RN R011973)
Enumeration Date2006-12-27
Last Update Date2007-07-08
Business Address
-- RICHARD LEE BRISCOE CRNA
113 COMANCHE RD
FORT MEADE, SD 57741-1002
Phone number: 605-347-2511
Mailing Address
-- RICHARD LEE BRISCOE CRNA
417 SCORPIO ST
MISSION, TX 78572-6521
Phone number: 956-583-4424