# DR. DAVID LARSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346335981
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000009731 | TN | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/17/2018

## 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 |