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Individual
DR. PETER JOHN LARSON
Active
Individual
DR. PETER JOHN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166565-1
NY
Other
Enumeration date
10/18/2007
Last updated
04/22/2009
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