NPI | 1780759415 |
---|---|
Doing Business As | LARRY J LITTLE MD |
Entity Type | Organization |
Authorized Contact | LARRY JOHN LITTLE Owner 641-855-5702 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35047090) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-08-22 |