Desyrae Ridenour

NPI 1891557575 · on the registry since 2024

Practice

Address: 960 E Walnut Lawn St Ste 201
Springfield, MO 65807
Phone: (417) 269-4450
Fax: (417) 269-4470
Organisation at this address: Lester E Cox Medical Centers
Lester E Cox Medical Centers
Queen City Anesthesia Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri