Individual
THOMAS JENNINGS LARSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2821 S 87TH AVE, OMAHA, NE 68124-3046
(402) 391-0960
(402) 391-1463
Mailing address
2821 S 87TH AVE, OMAHA, NE 68124-3046
(402) 391-0960
(402) 391-1463
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
157
NE
Other
Enumeration date
07/29/2005
Last updated
02/20/2008
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