Organization
TRENETTE ANN LARSON MD PC
Active
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
Update your record
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