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Individual

MR. ROBERT JAMES LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3501 S SHIELDS ST, FORT COLLINS, CO 80526-2583
(970) 221-1931
(970) 221-1055
Mailing address
3501 S SHIELDS ST, FORT COLLINS, CO 80526-2583
(970) 490-2020
(970) 221-3121

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
85499
CO

Other

Enumeration date
03/14/2006
Last updated
04/12/2021
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