Organization
EDWIN R. LARSON, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN R. LARSON MD (OWNER)
(513) 793-6550
Entity
Organization
Contact information
Practice address
9200 MONTGOMERY RD STE 8A, CINCINNATI, OH 45242-7730
(513) 793-6550
(513) 793-2191
Mailing address
9200 MONTGOMERY RD STE 8A, CINCINNATI, OH 45242-7730
(513) 793-6550
(513) 793-2191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35041086
OH
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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