| Doctor Name: | LARRY ECKSTEIN |
| NPI Number: | 1821000704 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 33042 |
| Business Practice Address: | 2760 29th St Suite 2-d Boulder, CO - 803011214 |
| Business Phone Number: | 3035469158 |
| Business Fax Number: | 3035469107 |
| Mailing Address: | Po Box 21150, BOULDER |
| State: | CO |
| Postal Code: | 803084150 |
| Phone Number: | 3035469158 |
| Fax Number: | 3035469107 |
| NPI Enumeration Date: | 08/12/2006 |
| NPI Last Update Date: | 03/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 33042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |