Israel Daniel Large, MD

NPI #1609616259 in Grandview, Missouri

Provider Information

NPI Number
1609616259
Entity Type
Individual
Name
Israel Daniel Large, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
MD
Enumeration Date
May 30, 2024
Last Updated
Dec 2, 2024

Practice Location

Address
13013 FULLER AVE STE A
ZIP Code
64030-2687
Phone
(915) 867-0499

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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