Larry Edward Terrell in Pueblo - Specialist
Larry Edward Terrell - NPI 1124237730
Larry Edward Terrell is a Specialist in Pueblo, Colorado. Larry Edward Terrell practices all healthcare services and medical treatments related to Specialist. The NPI Number for Larry Edward Terrell is 1124237730. The last update date is 2007-07-08.
Larry Edward Terrell's current location address is 1711 E Evans Ave, Pueblo, Colorado. You can contact this provider via phone number 7195619850. The mailing address for Larry Edward Terrell is 1711 E Evans Ave, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Edward Terrell |
|---|---|
| Address | 1711 E Evans Ave, Pueblo, Colorado |
| Phone Number | 7195619850 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CAC III |
NPI Number Detail
| NPI Number | 1124237730 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1711 E Evans Ave |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810043349 |
| Phone Number | 7195619850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 3164 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Larry Edward Terrell?
The Larry Edward Terrell has been issued the NPI (National Provider Identifier) 1124237730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Larry Edward Terrell located?
The Larry Edward Terrell is located at 1711 E Evans Ave, Pueblo, CO 810043349.
What is Larry Edward Terrell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Larry Edward Terrell is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date was the 1124237730 assigned to Larry Edward Terrell?
The Larry Edward Terrell was issued its 1124237730 on 2007-05-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Larry Edward Terrell most recently updated or revised?
The details related to Larry Edward Terrell, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC