Individual
DR. JEFFREY A LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 STONECREST BLVD, SUITE 360, SMYRNA, TN 37167-6818
(615) 223-9935
(615) 768-2021
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
—
1529941
—
TN
Enumeration date
09/17/2007
Last updated
10/01/2020
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