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Individual

JUDD LAROWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
424 YELLOWSTONE AVE STE 230, CODY, WY 82414
(307) 578-2975
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11925A
WY
207R00000X
Internal Medicine Physician
374653-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060066194
RAILROAD MEDICARE
UT
01
DG2060
RR MEDICARE GROUP
UT
Enumeration date
10/19/2005
Last updated
10/05/2020
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