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Individual

LARRY KEITH HIRSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1086 FRANKLIN ST, CONEMAUGH EMERGENCY PHYSICIANS GROUP, JOHNSTOWN, PA 15905
(814) 534-9600
Mailing address
9201 DRAKE AVE, APT. 102, EVANSTON, IL 60203-1650
(847) 673-5645

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD019885E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007365139
PA
05
1972572113
VA
05
64129109
KY
Enumeration date
03/17/2006
Last updated
01/22/2015
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