NPI Profile for LARRY W LIST in SAINT LOUIS, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cytotechnology |
246QC2700X | |||
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1598277444 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/01/2017 | |
| Last updated | 11/01/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LARRY W LIST
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