LARRY SEVERIDT

DES MOINES, IA
NPI1902891021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  21199)
Enumeration Date2005-09-14
Last Update Date2007-07-08
Business Address
-- LARRY SEVERIDT MD
1801 HICKMAN RD BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314-1505
Phone number: 515-282-2319
Mailing Address
-- LARRY SEVERIDT MD
1801 HICKMAN RD BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314-1505
Phone number: 515-282-2319
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