Individual
DR. LARISSA MARIE SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
(215) 707-8028
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3326
(201) 570-7802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101019130
MI
207L00000X
Anesthesiology Physician
Primary
OS018166
PA
Other
Enumeration date
07/31/2011
Last updated
06/15/2016
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