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Individual
DR. DAVID LARSEN
Active
Individual
DR. DAVID LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000009731
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009028
TLC
TN
01
—
0017809
BLUE CROSS BLUE SHIELD
TN
01
—
080099502
RAILROAD MEDICARE
TN
05
—
3189319
—
TN
01
—
4277358
AETNA
TN
01
—
744524
FIRST HEALTH
TN
Enumeration date
10/03/2006
Last updated
03/17/2018
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