Individual
DR. DAVID MALCOLM LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
210 NE TUDOR, LEES SUMMITT, MO 64086-5696
(888) 256-3814
Mailing address
11426 GOLDENROD RD, CARTHAGE, MO 64836-4176
(417) 358-2529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R9J48
MO
261QH0100X
Health Service Clinic/Center
Primary
R9J48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242956100
—
MO
Enumeration date
03/19/2007
Last updated
01/31/2017
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