Individual
RICHARD LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 CAMINO DE SALUD, MSC08 4560, ALBUQUERQUE, NM 87131-0001
(505) 272-6950
Mailing address
915 CAMINO DE SALUD, MSC08 4560, ALBUQUERQUE, NM 87131-0001
(505) 272-6950
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
96-92
NM
Other
Enumeration date
08/01/2006
Last updated
05/18/2012
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