Individual
DR. LARRY ALAN GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C022116
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01221167
—
CO
Enumeration date
08/25/2005
Last updated
07/28/2020
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