Individual
DR. CHARLES C LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5950 UNIVERSITY AVE, STE 221, WEST DES MOINES, IA 50266-8216
(515) 875-9115
(515) 875-9117
Mailing address
6800 LAKE DRIVE, STE 250, WEST DES MOINES, IA 50266-2504
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD-23555
IA
Other
Enumeration date
09/19/2005
Last updated
08/31/2015
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