Individual
DR. RICHARD ROBERT LARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
(701) 237-2625
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
(701) 237-2625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4576
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13794
—
ND
Enumeration date
05/11/2006
Last updated
07/12/2007
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