Individual
SPENCER LARSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 PRINCETON CT, DANVILLE, CA 94526-4122
(925) 837-1683
Mailing address
70 PRINCETON CT, DANVILLE, CA 94526-4122
(925) 837-1683
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G-17623
CA
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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