Individual
BARRETT JON LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A122665
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/11/2011
Last updated
04/11/2024
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