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Individual
LARRY DOUGLAS MCINTIRE
Active
Individual
LARRY DOUGLAS MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
0526146
KS
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
22386
OK
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
33563
MO
Other
Enumeration date
01/18/2006
Last updated
03/08/2011
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