Individual
LARRY K DIPBOYE
Active
Individual
LARRY K DIPBOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037508
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
05
—
8242356
—
WA
01
—
930086693
RAILROAD MEDICARE
—
01
—
DI2541
BLUE SHIELD
WA
01
—
MD3180
ALASKA MEDICAID
WA
01
—
US5835725
AETNA/USHC SPECIALIST
WA
Enumeration date
08/30/2006
Last updated
07/06/2012
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