Individual
DR. ERIC K LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 PLEASANT STREET, SUITE 12, CONCORD, NH 03301-2553
(603) 228-5420
(603) 228-7228
Mailing address
280 PLEASANT ST, SUITE 12, CONCORD, NH 03301-2553
(603) 228-5420
(603) 228-7228
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
7414
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102702Y0NH01
ANTHEM
NH
01
—
020403439
TRICARE
NH
05
—
30001617
—
NH
Enumeration date
10/05/2006
Last updated
03/31/2011
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