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Individual

BRIAN DANIEL LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5955 ZEAMER AVE, 673RD MDG, JBER, AK 99506-3702
(907) 580-1815
Mailing address
5955 ZEAMER AVE, 673RD MDG, JBER, AK 99506-3702
(907) 580-1815

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01063395A
IN
207L00000X
Anesthesiology Physician
Primary
7683
AK
207L00000X
Anesthesiology Physician
MD 60338755
WA

Other

Enumeration date
04/23/2007
Last updated
11/21/2013
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