Individual
LARRY W COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3245 INTERNATIONAL CIR, SUITE 200, COLORADO SPRINGS, CO 80910-3152
(719) 484-8840
(719) 484-8845
Mailing address
3245 INTERNATIONAL CIR, SUITE 200, COLORADO SPRINGS, CO 80910-3152
(719) 484-8840
(719) 484-8845
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17452
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174523
—
CO
Enumeration date
10/05/2006
Last updated
05/21/2009
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