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Individual

DR. DAVID MICHAEL LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
345 SAXONY RD STE 206, ENCINITAS, CA 92024-2792
(858) 367-3401
(760) 456-4703
Mailing address
345 SAXONY RD STE 206, ENCINITAS, CA 92024-2792
(760) 230-1317
(760) 456-4703

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A122666
CA
2084P0800X
Psychiatry Physician
A122666
CA

Other

Enumeration date
07/14/2011
Last updated
09/01/2019
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