Individual
MICHIAL JAMES LARGEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-2375
Mailing address
PO BOX 10824, BIRMINGHAM, AL 35202-0824
(800) 800-1617
(866) 759-5426
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001153799
VA
Other
Enumeration date
12/30/2009
Last updated
02/17/2010
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