RICKY JAMES DEVILLE

BRANSON, MO
NPI1457692857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2012037900)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28242075A)
Enumeration Date2013-03-09
Last Update Date2020-12-14
Business Address
RICKY JAMES DEVILLE CRNA
525 BRANSON LANDING BLVD
BRANSON, MO 65616
Phone number: 660-747-2500
Mailing Address
RICKY JAMES DEVILLE CRNA
PO BOX 9007
SPRINGFIELD, MO 65808-9007
Phone number: 417-875-3000