Individual
PHILIP J LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10561 JEFFREYS ST, 110, HENDERSON, NV 89052-4179
(702) 456-3668
(702) 456-6688
Mailing address
10561 JEFFREYS ST, #110, HENDERSON, NV 89052-4266
(702) 456-3668
(702) 456-6688
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0005
NV
Other
Enumeration date
08/17/2005
Last updated
02/03/2014
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