Individual
TYREL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3108 W DEYOUNG ST STE A, MARION, IL 62959-5548
(479) 254-0669
Mailing address
3108 W DEYOUNG ST STE A, MARION, IL 62959-5548
(479) 254-0669
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.003269
IL
390200000X
Student in an Organized Health Care Education/Training Program
DS035312
PA
Other
Enumeration date
04/30/2020
Last updated
11/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us