Individual
DR. DENNIS P LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 E WATERS EDGE DR, BELLEVILLE, IL 62221-7813
(618) 235-1510
(618) 235-1502
Mailing address
509 E WATERS EDGE DR, BELLEVILLE, IL 62221-7813
(618) 235-1510
(618) 235-1502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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