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Individual

DR. ROLANDO A LARICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
140 CHESTERFIELD COMMONS RD E, CHESTERFIELD, MO 63005-1440
(314) 434-9181
(636) 536-9588
Mailing address
140 CHESTERFIELD COMMONS RD E, CHESTERFIELD, MO 63005-1440
(314) 434-9181
(314) 569-2280

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
116517
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203861919
MO
Enumeration date
11/28/2005
Last updated
03/27/2020
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