Organization
JEFFREY A LARSEN MD PLLC
Active
Other names
Jeffrey A Larsen MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ARTHUR LARSEN MD (OWNER)
(615) 223-9935
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD, SUITE 360, SMYRNA, TN 37167-6818
(615) 223-9935
(615) 768-7871
Mailing address
300 STONECREST BLVD, SUITE 360, SMYRNA, TN 37167-6818
(615) 223-9935
(615) 768-7871
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30866
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3836764
—
TN
Enumeration date
11/17/2006
Last updated
10/01/2007
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