Individual
ERICK LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5020
(405) 855-6000
Mailing address
940 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42376
OK
Other
Enumeration date
04/06/2021
Last updated
10/21/2024
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