Individual
DR. GEORGE DOUGLAS LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 N AUGUSTA ST, STAUNTON, VA 24401-2401
(540) 332-7830
(540) 885-0149
Mailing address
1414 N AUGUSTA ST, P.O. BOX 2126, STAUNTON, VA 24401-2401
(540) 332-7830
(540) 885-0149
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0101021588
VA
Other
Enumeration date
08/08/2006
Last updated
08/10/2011
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