Individual
LARRY J ENSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20326 ANTLER FARMS DR, EDMOND, OK 73012-0633
(405) 471-4755
Mailing address
20326 ANTLER FARMS DR, EDMOND, OK 73012-0633
(405) 471-4755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1737
OK
Other
Enumeration date
09/21/2006
Last updated
01/31/2013
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