Larry Wayne Massie M.D.

NPI 1013926344 - Pathology - 207ZP0102X

NPI Details
NPI 1013926344
Gender Male
Enumeration Date 08/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1501 SAN PEDRO DR SE
ALBUQUERQUE NM, 87108-5153, US
Phone (505) 256-5770
Fax (505) 256-5439
Business Location
1501 SAN PEDRO DR SE
ALBUQUERQUE NM, 87108-5153, US
Phone (505) 256-5770
Fax (505) 256-5439
Toxanomy
Taxonomy Code 207ZP0102X
License State New Mexico
License Number 89-259
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According to our database, Dr. Larry Wayne Massie M.D. NPI is 1013926344, taxonomy code is 207ZP0102X and license number is 89-259, license state is located at New Mexico. Larry Wayne Massie M.D. physically located at 1501 San Pedro Dr Se, Albuquerque NM, 87108-5153. NPI Number Larry Wayne Massie M.D. has the Individual type.

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1013926344 NPI number is provided on an as is basis without warranty of any kind. 1013926344 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Wayne Massie M.D. are for informational purposes only.