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Individual

RANDY S. LARGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
17065 S OUTER RD, BELTON, MO 64012-2165
(816) 348-1200
(913) 428-2951
Mailing address
8717 W 110TH ST STE 600, OVERLAND PARK, KS 66210-2126
(913) 428-2900
(913) 428-2951

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2010000744
MO
207L00000X
Anesthesiology Physician
3086
AZ
207L00000X
Anesthesiology Physician
DR-34380
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
81882556
CO
Enumeration date
01/21/2006
Last updated
04/10/2026
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