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Individual
LARRY E SIREF
Active
Individual
LARRY E SIREF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18671
NE
174400000X
Specialist
29568
IA
208800000X
Urology Physician
Primary
18671
NE
208800000X
Urology Physician
MD-29568
IA
Other
Enumeration date
07/18/2005
Last updated
04/09/2024
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