Individual
DR. LARRY NEWELL AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5565 GROSSMONT CENTER DR, STE 360, LA MESA, CA 91942-3020
(619) 462-3360
(619) 462-3363
Mailing address
5565 GROSSMONT CENTER DR, STE 360, LA MESA, CA 91942-3020
(619) 462-3360
(619) 462-3363
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C28720
CA
207RP1001X
Pulmonary Disease Physician
Primary
C28720
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
C28720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C287200
—
CA
Enumeration date
03/16/2006
Last updated
02/08/2012
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