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Organization

TRENETTE ANN LARSON MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRENETTE ANN LARSON M.D. (OWNER)
(307) 778-8437
Entity
Organization

Contact information

Practice address
10115 BRANDING IRON DR, CHEYENNE, WY 82009-8614
(307) 778-8437
(307) 778-8503
Mailing address
10115 BRANDING IRON DR, CHEYENNE, WY 82009-8614
(307) 778-8437
(307) 778-8503

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3624
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113966500
WY
05
116807000
WY
Enumeration date
07/06/2007
Last updated
04/12/2012
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