Individual
DANIEL JOHN LARMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
317 CRESTVIEW CIR, MEDIA, PA 19063-1736
(610) 517-5626
Mailing address
317 CRESTVIEW CIR, MEDIA, PA 19063-1736
(610) 517-5626
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP018516
PA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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