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Individual
DR. LARRY ALLAN FREEMAN
Active
Individual
DR. LARRY ALLAN FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
A25347
CA
207Q00000X
Family Medicine Physician
Primary
A25347
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
A25347
CA
208VP0000X
Pain Medicine Physician
A25347
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A25347
CA MEDICAL LICENSE #
CA
Enumeration date
02/26/2007
Last updated
03/10/2010
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