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1689617771
LARRY D. PETERSEN
SPRINGFIELD, MO
NPI
1689617771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO MDR7D93)
Enumeration Date
2006-06-14
Last Update Date
2012-06-28
Business Address
-- LARRY D. PETERSEN M.D.
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-4550
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Mailing Address
-- LARRY D. PETERSEN M.D.
1000 E PRIMROSE ST
SPRINGFIELD, MO 65807-5180
Phone number: 417-269-4550
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