Individual
MR. LARRY EUGENE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1526 NORTHWAY DR, SAINT CLOUD, MN 56303-1255
(320) 251-8385
Mailing address
2208 10TH AVE S, SAINT CLOUD, MN 56301-5805
(320) 259-5372
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
023338
MN
Other
Enumeration date
03/06/2007
Last updated
01/15/2008
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