Individual
DR. TODD DUANE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9285 HEPBURN ST, HIGHLANDS RANCH, CO 80129-2262
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49540
CO
207R00000X
Internal Medicine Physician
MD00035391
WA
207RS0010X
Sports Medicine (Internal Medicine) Physician
MD00035391
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126517
STATE L&I
WA
01
—
021482
KAISER COMMERCIAL NUMBER
CO
01
—
110184901
MEDICARE RAILROAD
WA
05
—
78486572
—
CO
05
—
8211799
—
WA
01
—
8930011
STATE CRIME VICTIMS
WA
Enumeration date
08/10/2006
Last updated
05/17/2021
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