Individual
DR. JOHN MARK LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 LOMBARD ST, SUITE 110, OXNARD, CA 93030-8211
(805) 988-6510
(805) 988-6550
Mailing address
1700 LOMBARD ST, SUITE 110, OXNARD, CA 93030-8211
(805) 988-6510
(805) 988-6550
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
G61959
CA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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