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Individual

DR. LARRY DEAN WILLIAMSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 S CASINO CENTER BLVD, LAS VEGAS, NV 89101-6102
(702) 671-5637
(702) 366-0576
Mailing address
330 S CASINO CENTER BLVD, LAS VEGAS, NV 89101-6102
(702) 671-5637
(702) 366-0576

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21286
WV
207Q00000X
Family Medicine Physician
Primary
8304
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972701837
NV
05
3910001135
WV
Enumeration date
07/03/2007
Last updated
06/10/2016
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