Individual
PHILIP ROBERT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
25 STONEYBROOK LN, BRISTOL, ME 04539-3050
(918) 914-3215
Mailing address
25 STONEYBROOK LN, BRISTOL, ME 04539-3050
(918) 914-3215
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2697
OK
Other
Enumeration date
02/10/2022
Last updated
02/23/2026
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