Individual
DAVID MARK LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7002
Mailing address
4701 CHESTNUT RIDGE RD NE, CEDAR RAPIDS, IA 52411-7623
(319) 320-6563
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-43154
IA
Other
Enumeration date
02/15/2006
Last updated
10/18/2016
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