Individual
GREGORY S LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
312 NOTRE DAME RD, CLAREMONT, CA 91711-5136
(909) 399-3609
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A10521
CA
Other
Enumeration date
08/26/2008
Last updated
10/30/2009
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