Individual
DR. LARRY ALLEN ENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8342
(707) 465-2020
(707) 465-6252
Mailing address
515 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8342
(707) 465-2020
(707) 465-6252
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A33786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337860
—
CA
Enumeration date
12/09/2005
Last updated
06/29/2020
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