Organization
RAYMOND L. LARSEN, MD
Active
Organization
RAYMOND L. LARSEN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL GROUNDS (ADMINISTRATOR)
(701) 252-9020
Entity
Organization
Contact information
Practice address
916 5TH AVE NE, JAMESTOWN, ND 58401-3437
(701) 252-9020
(701) 252-2209
Mailing address
916 5TH AVE NE, JAMESTOWN, ND 58401-3437
(701) 252-9020
(701) 252-2209
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10092
—
ND
Enumeration date
02/12/2015
Last updated
02/12/2015
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