Individual
DR. MARK THOMAS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 330-8785
(360) 330-8784
Mailing address
6229 SWAYNE DRIVE NE, OLYMPIA, WA 98516
(360) 438-2865
(360) 330-8684
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
MD00031468
WA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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