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Organization

NORTHWEST FAMILY PHYSICIANS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM G. LARSEN M.D. (OWNER)
(704) 926-7800
Entity
Organization

Contact information

Practice address
7920 MOORES CHAPEL RD, CHARLOTTE, NC 28214-9453
(704) 926-7800
(704) 926-7806
Mailing address
7920 MOORES CHAPEL RD, CHARLOTTE, NC 28214-9453
(704) 926-7800
(704) 926-7806

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89-011A0
NC
Enumeration date
08/01/2006
Last updated
01/11/2010
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