Individual
DR. ROBERT A. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, DEPT. OF SURGERY, RICHMOND, VA 23298-5051
(804) 828-7391
(804) 828-0191
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101258303
VA
2086S0129X
Vascular Surgery Physician
0101258303
VA
Other
Enumeration date
07/20/2006
Last updated
08/17/2015
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