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Individual
DR. LARRY MARK WEISENTHAL
Active
Individual
DR. LARRY MARK WEISENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD., PHD.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
66724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G41204
MEDICARE PROVIDER #
CA
Enumeration date
07/11/2006
Last updated
05/17/2012
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