Individual
DR. JOSE LARRABASTER ROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3245 HENDERSON DR, JACKSONVILLE, NC 28546-5251
(910) 937-0008
(910) 937-0098
Mailing address
3245 HENDERSON DR, JACKSONVILLE, NC 28546-5251
(910) 937-0008
(910) 937-0098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200200443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913181
—
NC
Enumeration date
03/23/2006
Last updated
07/08/2007
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