Individual
DR. ROBERT E LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 734-1866
(919) 736-1804
Mailing address
2700 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 734-1866
(919) 736-1804
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
9700316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02898
WORK COMP
NC
01
—
1114A
BCBS
NC
05
—
891114A
—
NC
Enumeration date
04/06/2006
Last updated
07/08/2007
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