Individual
DOUGLAS J. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1515 5TH AVE, SUITE 101, BELLE FOURCHE, SD 57717-6031
(605) 892-4845
Mailing address
1515 5TH AVE, SUITE 101, BELLE FOURCHE, SD 57717-6031
(605) 892-4845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
689
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7602992
—
SD
Enumeration date
02/22/2006
Last updated
08/25/2008
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