MR. Larry Edward Terrell, CAC III

NPI #1124237730 in Pueblo, Colorado

Provider Information

NPI Number: 1124237730
Entity Type: Individual
Name: MR. Larry Edward Terrell, CAC III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CAC III
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1711 E EVANS AVE
City: Pueblo
State: Colorado
ZIP Code: 81004-3349
Phone: (719) 561-9850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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