| Organization Name: | LARRY ECKSTEIN, M.D., P.C. |
| NPI Number: | 1932340494 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY ECKSTEIN (PRESIDENT) |
| Mailing Address: | 2760 29th St Suite 2-d Boulder |
| State: | CO US |
| Postal Code: | 803011214 |
| Phone Number: | 3035469158 |
| Fax Number: | 3035469107 |
| NPI Enumeration Date: | 03/13/2009 |
| 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: | |