Individual
THERESA A LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
(405) 271-3649
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
(405) 271-3649
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
48676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403688000
—
MN
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
WI
01
—
P00629415
RAILROAD MEDICARE
MN
Enumeration date
08/12/2006
Last updated
11/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us