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Individual

LARRY LARUE MARSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
760 PILOT HOUSE DR, SUITE B, NEWPORT NEWS, VA 23606-2068
(757) 591-2260
(757) 595-2001
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(706) 650-0705
(706) 650-1034

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169562
VA

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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