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Individual

DR. ROBERT C. LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2981 US ROUTE 7, PITTSFORD,, VT 05763
(802) 483-9336
(802) 483-9336
Mailing address
PO BOX 378, PITTSFORD, VT 05763-0378
(802) 483-9336
(802) 483-9336

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0000735
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8714
BLUE CROSS BLUE SHIELD
VT
01
9567134001
CIGNA HEALTHCARE
VT
Enumeration date
03/22/2007
Last updated
07/08/2007
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