Individual provider · Type 1 NPI

Larry Edward Terrell, CAC III

Specialist · Pueblo, CO

NPI number 1124237730 Active

Practice location

1711 E Evans Ave
Pueblo, CO 81004-3349

Call (719) 561-9850 Map

Mailing address

3470 Baltimore Ave
Pueblo, CO 81008-1520

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X3164 (CO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124237730

Larry Edward Terrell, CAC III's National Provider Identifier is 1124237730, issued on May 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pueblo, CO. The record was last updated on Jul 8, 2007.