Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Israel Daniel Large, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609616259

Israel Daniel Large, MD is a Student in an Organized Health Care Education/Training Program in Grandview, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13013 Fuller Ave Ste A
Grandview, MO 64030-2687
Phone: (915) 867-0499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609616259
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address1501 E Whitton Ave Apt 302, Phoenix, AZ 85014-5180

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