Dr. David Malcolm Larue, D.O.
Clinic/Center, Health Services in Lees Summitt, MO. Individual provider (NPI-1).
NPI number1407970700
StatusActive
Last updated in NPPESJan 31, 2017
Details
- NPI
- 1407970700
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Malcolm Larue
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2007
- Last updated
- Jan 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | R9J48 | MO | Yes |
| 207P00000X | Emergency Medicine | R9J48 | MO |
Practice location
210 Ne TudorLees Summitt, MO 64086-5696
Phone 888-256-3814
Mailing address
11426 Goldenrod RdCarthage, MO 64836-4176
Phone 417-358-2529
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.