Vernon O Larson MD

NPI 1023369543 - Radiology - 2085R0203X

NPI Details
NPI 1023369543
Gender Male
Enumeration Date 09/24/2012
Last Updated 09/24/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
23 COUNTRY CLUB DR SW
LAKEWOOD WA, 98498-5303, US
Phone (253) 983-1032
Fax
Business Location
PO BOX 98628
LAKEWOOD WA, 98496-8628, US
Phone (253) 983-1032
Fax
Toxanomy
Taxonomy Code 2085R0203X
License State Washington
License Number 00008046
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According to our database, Dr. Vernon O Larson MD NPI is 1023369543, taxonomy code is 2085R0203X and license number is 00008046, license state is located at Washington. Vernon O Larson MD physically located at 23 Country Club Dr Sw, Lakewood WA, 98498-5303. NPI Number Vernon O Larson MD has the Individual type.

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1023369543 NPI number is provided on an as is basis without warranty of any kind. 1023369543 is maintained by the National Plan & Provider Enumeration System. The contents of Vernon O Larson MD are for informational purposes only.