Individual
DR. LARRY D DEFFENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3114 MEDICAL PARK DR, CARTHAGE, MO 64836-1211
(620) 783-2430
Mailing address
3114 MEDICAL PARK DR, CARTHAGE, MO 64836-1211
(620) 783-2430
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R6321
MO
Other
Enumeration date
06/07/2006
Last updated
10/13/2021
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