Individual
JUDD LAROWE
Active
Individual
JUDD LAROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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