Douglas Paul Larsen MD

NPI 1669635181 - Psychiatry & Neurology - 2084N0402X

NPI Details
NPI 1669635181
Gender Male
Enumeration Date 07/03/2008
Last Updated 10/29/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1 CHILDRENS PL
STE D
SAINT LOUIS MO, 63110-1002, US
Phone (314) 454-6120
Fax (314) 454-2523
Business Location
660 S EUCLID AVE
C B 8111
SAINT LOUIS MO, 63110-1010, US
Phone (314) 454-6120
Fax (314) 454-2523
Toxanomy
Taxonomy Code 2084N0402X
License State Missouri
License Number 2008018552
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According to our database, Dr. Douglas Paul Larsen MD NPI is 1669635181, taxonomy code is 2084N0402X and license number is 2008018552, license state is located at Missouri. Douglas Paul Larsen MD physically located at 1 Childrens Pl, Saint Louis MO, 63110-1002. NPI Number Douglas Paul Larsen MD has the Individual type.

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1669635181 NPI number is provided on an as is basis without warranty of any kind. 1669635181 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Paul Larsen MD are for informational purposes only.