Individual provider · Type 1 NPI

Desyrae Eliza Ridenour

Physician Assistant · Springfield, MO

NPI number 1891557575 Active

Practice location

960 E Walnut Lawn St Ste 201
Springfield, MO 65807-7865

Call (417) 269-4450 Map

Fax (417) 269-4470

Mailing address

PO Box 505673
St. Louis, MO 63150-5673

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2024003095 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

8 other providers at this address

Other physician assistant providers in Springfield

See all in Springfield →

About NPI 1891557575

Desyrae Eliza Ridenour's National Provider Identifier is 1891557575, issued on Jan 29, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, MO. The record was last updated on Apr 30, 2024.