Individual
DR. LARRY A WIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 ROSSI CIR, SALINAS, CA 93907-2370
(831) 770-0444
(831) 770-0445
Mailing address
4 ROSSI CIR, STE 141, SALINAS, CA 93907-2362
(831) 757-4444
(831) 757-4419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G32397
CA
207R00000X
Internal Medicine Physician
G32397
CA
2083X0100X
Occupational Medicine Physician
Primary
G32397
CA
Other
Enumeration date
03/03/2010
Last updated
01/11/2023
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