Individual
THOMAS HOMER LARGEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1219 MAIN ST, HAMBURG, IA 51640-1300
(712) 382-2626
(712) 382-1931
Mailing address
1219 MAIN ST, HAMBURG, IA 51640-1300
(712) 382-2626
(712) 382-1931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17594
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018499
—
IA
01
—
01849
WELLMARK BC/BS OF IA
IA
Enumeration date
02/07/2006
Last updated
07/08/2007
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