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Contact Information

LARRY W LIST
915 N GRAND BLVD
SAINT LOUIS, MO63106-1621
 Phone: 314-652-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cytotechnology

246QC2700X
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LARRY W LIST · (Male)

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
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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