Individual
BENJAMIN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 E WALNUT ST APT 2, HARVARD, NE 68944-3004
(402) 604-1354
Mailing address
502 E WALNUT ST APT 2, HARVARD, NE 68944-3004
(402) 604-1354
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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