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Individual
MR. LARRY K CHASE
Active
Individual
MR. LARRY K CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2D20
MO
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
R2D20
MO
Other
Enumeration date
06/20/2005
Last updated
06/10/2019
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