Individual
LARRY E DRUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5850 POLARIS AVE STE 100, LAS VEGAS, NV 89118-3185
(702) 739-9957
Mailing address
5850 POLARIS AVE STE 100, LAS VEGAS, NV 89118-3185
(702) 739-9957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1330
NV
207Q00000X
Family Medicine Physician
4556
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1330
LICENSE
NV
01
—
4556
STATE LICENSE
AZ
Enumeration date
05/01/2007
Last updated
01/05/2011
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