# DR. SETH BENJAMIN LARSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780038026
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | ED0596 | WV | — |
| 207Q00000X | Family Medicine Physician | 3324 | WV | — |
| 207Q00000X | Family Medicine Physician | MED-PHYS-LIC-76439 | MT | Yes |
| 207Q00000X | Family Medicine Physician | WVEDU | WV | — |

## Other

- **Enumeration date:** 04/22/2016
- **Last updated:** 04/04/2024