Individual
LARRY CROFT MUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3093
(303) 440-3161
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3093
(303) 440-3161
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01055149A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333830A
—
IN
Enumeration date
07/26/2005
Last updated
03/31/2021
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