Individual
MELISSA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 SHERMAN ST, STE 510, DENVER, CO 80203-4400
(303) 377-6825
(303) 780-0787
Mailing address
455 SHERMAN ST, STE 510, DENVER, CO 80203-4400
(303) 377-6825
(303) 780-0787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36840
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100335770A
—
KS
05
—
114221600
—
WY
05
—
27807070
—
CO
05
—
3506685
—
MT
05
—
84113438513
—
NE
05
—
8648603
—
NJ
05
—
XPY204583
—
CA
05
—
Z5206
—
NM
Enumeration date
12/29/2005
Last updated
04/18/2013
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