Paul Clay Larson M.D.

NPI 1093713323 - Specialist - 174400000X

NPI Details
NPI 1093713323
Gender Male
Enumeration Date 07/11/2005
Last Updated 05/09/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3704 NORTH BLVD
SUITE 1
ALEXANDRIA LA, 71301-3606, US
Phone (318) 442-8399
Fax (318) 448-9897
Business Location
3704 NORTH BLVD
SUITE 1
ALEXANDRIA LA, 71301-3606, US
Phone (318) 442-8399
Fax (318) 448-9897
Toxanomy
Taxonomy Code 174400000X
License State Louisiana
License Number 015700
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According to our database, Paul Clay Larson M.D. NPI is 1093713323, taxonomy code is 174400000X and license number is 015700, license state is located at Louisiana. Paul Clay Larson M.D. physically located at 3704 North Blvd, Alexandria LA, 71301-3606. NPI Number Paul Clay Larson M.D. has the Individual type.

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1093713323 NPI number is provided on an as is basis without warranty of any kind. 1093713323 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Clay Larson M.D. are for informational purposes only.