Individual
DR. LARRY GALE WILLHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 SHORES LN, BRECKENRIDGE, CO 80424
(970) 547-0548
Mailing address
PO BOX 8603, BRECKENRIDGE, CO 80424-8603
(970) 547-0548
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36801
CO
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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