Individual
JOSH W LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3530 FOOTHILLS RD STE G, LAS CRUCES, NM 88011-3621
(575) 524-7246
Mailing address
3530 FOOTHILLS RD STE G, LAS CRUCES, NM 88011-3621
(575) 524-7246
(575) 288-1291
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2206
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669949756
—
NM
Enumeration date
10/27/2018
Last updated
06/17/2019
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