Individual
AMY ELIZABETH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
130 HOSPITAL RD, SUITE 101, PRINCE FREDERICK, MD 20678-4015
(410) 535-1108
(410) 535-4088
Mailing address
130 HOSPITAL RD, SUITE 101, PRINCE FREDERICK, MD 20678-4015
(410) 535-1108
(410) 535-4088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004119
MD
Other
Enumeration date
11/25/2009
Last updated
03/12/2018
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