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Individual
LARRY R BURRIS
Active
Individual
LARRY R BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42828
MN
207R00000X
Internal Medicine Physician
4695
SD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
42828
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4695
SD
207RN0300X
Nephrology Physician
42828
MN
207RN0300X
Nephrology Physician
4695
SD
2084A2900X
Neurocritical Care Physician
Primary
4695
SD
Other
Enumeration date
05/26/2006
Last updated
03/28/2022
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