Individual
DR. JAMES W LARSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
152 LINDEN DR, WINCHESTER, VA 22601-2818
(540) 667-9252
(540) 722-4514
Mailing address
152 LINDEN DR, WINCHESTER, VA 22601-2818
(540) 667-9252
(540) 722-4514
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101247904
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101247904
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00880708
RR MEDICARE
VA
Enumeration date
06/05/2007
Last updated
12/30/2024
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