Individual
DR. KERRY K LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1905 COOPER TRL, CANON CITY, CO 81212-0013
(619) 828-6463
Mailing address
1905 COOPER TRL, CANON CITY, CO 81212-0013
(619) 828-6463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G60983
CA
Other
Enumeration date
11/22/2005
Last updated
06/06/2010
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