DR. MD Larry Gotfrey Thirstrup, NPI 1770834012
Addiction Medicine (Internal Medicine) Physician in Christiansted, VI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1770834012
NPI Entity Type Individual
Provider Name DR. MD Larry Gotfrey Thirstrup
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 4000 Ruby Plz Ste 3, Christiansted, VI, US
Provider Mailing Address 140 Fay Way, Slidell, LA, US, 704603212
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207RA0401X

Taxonomy Name Addiction Medicine (Internal Medicine) Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 300473
License State LA
Description An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Business Address

DR. MD Larry Gotfrey Thirstrup
4000 Ruby Plz Ste 3

Christiansted, VI, US

Phone: 340-772-3883
Fax: 340-772-2882

Mailing Address

DR. MD Larry Gotfrey Thirstrup
140 Fay Way
Slidell, LA, US
ZIP 704603212
Phone: 340-643-4890
Fax: 985-605-7213

Secondary Taxonomies

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DR. MD Larry Gotfrey Thirstrup

Individual

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