Individual
DR. DEREK JONATHAN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
800 GLACIER AVE STE 100, JUNEAU, AK 99801-1852
(907) 202-8817
Mailing address
800 GLACIER AVE STE 100, JUNEAU, AK 99801-1852
(907) 202-8817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
168301
AK
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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