Individual
MR. JAMES LARRY WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NBC-HIS
Contact information
Practice address
2102 N OUTER RD, DEXTER, MO 63841-8482
(573) 624-6214
(573) 624-2202
Mailing address
2102 N OUTER RD, P O BOX 445, DEXTER, MO 63841-0445
(573) 624-6214
(573) 624-2202
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
463
MO
Other
Enumeration date
11/01/2006
Last updated
07/09/2007
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