Mark Thomas Larson M.D.

NPI 1497973416 - Emergency Medicine - 207PH0002X

NPI Details
NPI 1497973416
Gender Male
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
914 S SCHEUBER RD
CENTRALIA WA, 98531-9027, US
Phone (360) 330-8785
Fax (360) 330-8784
Business Location
6229 SWAYNE DRIVE NE
OLYMPIA WA, 98516, US
Phone (360) 438-2865
Fax (360) 330-8684
Toxanomy
Taxonomy Code 207PH0002X
License State Washington
License Number MD00031468
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According to our database, Dr. Mark Thomas Larson M.D. NPI is 1497973416, taxonomy code is 207PH0002X and license number is MD00031468, license state is located at Washington. Mark Thomas Larson M.D. physically located at 914 S Scheuber Rd, Centralia WA, 98531-9027. NPI Number Mark Thomas Larson M.D. has the Individual type.

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1497973416 NPI number is provided on an as is basis without warranty of any kind. 1497973416 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Thomas Larson M.D. are for informational purposes only.