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Individual

LARRY BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3308 SAMSON WAY, BELLEVUE, NE 68123-3234
(402) 827-1577
(402) 898-3134
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
19523
NE

Other

Enumeration date
01/09/2007
Last updated
07/20/2011
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