Individual
DR. SHELLY ANN MARIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
104 TECHNOLOGY DRIVE, SUITE 103, BUTLER, PA 16001
(724) 482-4192
(724) 482-4859
Mailing address
104 TECHNOLOGY DR, SUITE 103, BUTLER, PA 16001-1801
(724) 482-4192
(724) 482-4859
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006152
PA
Other
Enumeration date
06/25/2009
Last updated
06/27/2013
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