Individual
DR. LARRY RAY HUNEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 752-4055
(812) 752-5835
Mailing address
PO BOX 677, SCOTTSBURG, IN 47170-0677
(812) 752-4055
(812) 752-5835
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01040675
IN
207Q00000X
Family Medicine Physician
Primary
01040675A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100443030
—
IN
Enumeration date
06/09/2005
Last updated
06/29/2016
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