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Individual

ERNEST L LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
265 S PARKSIDE DR, STE 100, COLORADO SPRINGS, CO 80910-3141
(719) 633-8773
(719) 633-1905
Mailing address
265 S PARKSIDE DR, STE 100, COLORADO SPRINGS, CO 80910-3141
(719) 633-8773
(719) 633-1905

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20212
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01202126
CO
Enumeration date
06/28/2005
Last updated
02/13/2014
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