Organization
LARRY FOREMAN, DO
Active
Other names
Larry Warren Foreman, MD
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY W FOREMAN DO (PHYSICIAN OWNER)
(805) 459-8917
Entity
Organization
Contact information
Practice address
345 S HALCYON RD, ARROYO GRANDE, CA 93420-3817
(805) 459-8917
Mailing address
1945 CORBETT HIGHLANDS PL, ARROYO GRANDE, CA 93420-4933
(805) 459-8917
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
20A5055
CA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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