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Individual
LARKIN JEFFREY DANIELS
Active
Individual
LARKIN JEFFREY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
00024489
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051551856
—
AL
01
—
515-10053
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/14/2005
Last updated
12/08/2009
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