Individual
MATTHEW CARL LARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(800) 822-8816
Mailing address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24846
AL
2085R0202X
Diagnostic Radiology Physician
ME170595
FL
Other
Enumeration date
04/18/2006
Last updated
03/11/2025
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