Individual
DR. STEVEN RICHARD LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 CORRIGAN CT, FOLSOM, CA 95630-8616
(916) 984-0668
Mailing address
109 CORRIGAN CT, FOLSOM, CA 95630-8616
(916) 984-0668
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G36130
CA
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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