Individual
DR. ERIC PAUL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4171
Mailing address
11610 CATTAIL WAY, MISSOULA, MT 59802-8743
(817) 733-2713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-58628
MT
Other
Enumeration date
06/23/2014
Last updated
12/01/2023
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