Individual
JAMES C. LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
713 OAK ST., SUNDANCE, WY 82729-0517
(307) 283-3501
(307) 283-2255
Mailing address
PO BOX 517, SUNDANCE, WY 82729-0517
(307) 283-3501
(307) 283-2489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4487A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810542541
COMMERCIAL
MT
Enumeration date
01/29/2007
Last updated
08/09/2018
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