DR. DAVID MALCOLM LARUE D.O. NPI 1407970700

NPI Information

NPI: 1407970700
Provider Name: DR. DAVID MALCOLM LARUE, D.O.
Classification: Clinic/Center - 261QH0100X
Entity Type: Individual

Specialization: Health Service

Address:
210 NE TUDOR
LEES SUMMITT, MO
ZIP 64086
Phone: (888) 256-3814
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DR. David Malcolm Larue, D.O. is a health service clinic center in Lees Summitt, MO. DR. David Malcolm Larue, D.O. NPI is 1407970700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

210 NE TUDOR
LEES SUMMITT, MO
ZIP 64086-696
Phone: (888) 256-3814

The enumeration date for this NPI number is 3/19/2007 and was last updated on 1/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		R9J48	MISSOURI	No
2	261QH0100X	Clinic/Center	Health Service	R9J48	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	242956100	MEDICAID	MISSOURI
2	E15992	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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