Individual
BRUCE DAVIN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10200 NE 132ND ST, KIRKLAND, WA 98034-2831
(425) 821-2000
Mailing address
10200 NE 132ND ST, KIRKLAND, WA 98034-2831
(425) 821-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00044773
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8438137
—
WA
Enumeration date
08/02/2006
Last updated
07/08/2007
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