Individual
MR. LARRY MARVIN WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 EAST 12TH STREET, COZAD, NE 69130
(308) 784-2261
(308) 784-2266
Mailing address
609 EAST 14TH STREET, COZAD, NE 69130-1622
(308) 784-4261
(308) 784-5016
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100118
NE
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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