Larry R Corum MD

NPI 1063413151 - Internal Medicine - 207RH0003X

NPI Details
NPI 1063413151
Gender Male
Enumeration Date 08/10/2005
Last Updated 01/18/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
20375 W 151ST ST
SUITE 208
OLATHE KS, 66061-7218, US
Phone (913) 780-4000
Fax (913) 780-4038
Business Location
20375 W 151ST ST
SUITE 208
OLATHE KS, 66061-7218, US
Phone (913) 780-4000
Fax (913) 780-4038
Toxanomy
Taxonomy Code 207RH0003X
License State Kansas
License Number 04-30533
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According to our database, Dr. Larry R Corum MD NPI is 1063413151, taxonomy code is 207RH0003X and license number is 04-30533, license state is located at Kansas. Larry R Corum MD physically located at 20375 W 151st St, Olathe KS, 66061-7218. NPI Number Larry R Corum MD has the Individual type.

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1063413151 NPI number is provided on an as is basis without warranty of any kind. 1063413151 is maintained by the National Plan & Provider Enumeration System. The contents of Larry R Corum MD are for informational purposes only.