Individual
DR. DENNIS G LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 E HARMONY RD, UNIT 100, FORT COLLINS, CO 80528-3401
(970) 221-1000
(970) 297-6860
Mailing address
2121 E HARMONY RD, SUITE 100, FORT COLLINS, CO 80528-3400
(970) 221-1000
(970) 297-6860
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
18976
NE
207RC0000X
Cardiovascular Disease Physician
Primary
19667
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01196674
—
CO
05
—
109332100
—
WY
Enumeration date
06/23/2005
Last updated
06/12/2014
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