Individual provider · Type 1 NPI
David Malcolm Larue, DO
Health Service Clinic/Center · Lees Summitt, MO
NPI number
1407970700
Active
Practice location
210 NE Tudor
Lees Summitt, MO 64086-5696
Mailing address
11426 Goldenrod Rd
Carthage, MO 64836-4176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | R9J48 (MO) |
| Health Service Clinic/Center Primary | 261QH0100X | R9J48 (MO) |
Health Service Clinic/Center: Definition to come...
About NPI 1407970700
David Malcolm Larue, DO's National Provider Identifier is 1407970700, issued on Mar 19, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Lees Summitt, MO. The record was last updated on Jan 31, 2017.