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Individual

LARRY ECKSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2760 29TH ST, SUITE 2-D, BOULDER, CO 80301-1214
(303) 546-9158
(303) 546-9107
Mailing address
PO BOX 21150, BOULDER, CO 80308-4150
(303) 546-9158
(303) 546-9107

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
33042
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01330422
CO
Enumeration date
08/12/2006
Last updated
03/02/2016
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