Individual
DAVID WILBUR LARSON
Active
Individual
DAVID WILBUR LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00513
BLUE CROSS
NC
01
—
0081P
BCBS SWINGBED
NC
01
—
014MX
BLUE CROSS LABS
NC
01
—
07673
BLUE CROSS PHYSICIAN
NC
01
—
201464G
MEDICARE PHYSICIAN
NC
01
—
34U011
MEDICARE SWINGBED
NC
01
—
51049
BCBS INDIVIDUAL PROVIDER
NC
01
—
8951049
MEDICAID
NC
Enumeration date
06/27/2006
Last updated
01/15/2008
Update your record
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