Individual
ERLING LARSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 53RD AVE, BETTENDORF, IA 52722-7546
(563) 383-2686
(563) 884-8144
Mailing address
2222 53RD AVE, BETTENDORF, IA 52722-7546
(563) 383-2686
(563) 884-8144
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20780
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185553
—
IA
01
—
1216535
CSA
IA
Enumeration date
11/15/2005
Last updated
03/07/2023
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