Dr. Larry W. Halverson, M.D.
Family Medicine in Springfield, MO. Individual provider (NPI-1).
NPI number1114016342
StatusActive
Last updated in NPPESJan 7, 2013
Details
- NPI
- 1114016342
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larry W. Halverson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Jan 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | R6217 | MO | Yes |
Practice location
1423 N Jefferson Ave#b100
Springfield, MO 65802-1917
Phone 417-269-8825 · Fax 417-269-8744
Mailing address
3800 S National Ave#540
Springfield, MO 65807-5209
Phone 417-269-8825 · Fax 417-269-8744
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