Individual
DR. AMMON LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3451 MOUNTAIN LION DR, LOVELAND, CO 80537-8817
(970) 800-9330
(720) 927-4301
Mailing address
PO BOX 731, LOVELAND, CO 80539-0731
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0058495
CO
207NS0135X
Procedural Dermatology Physician
0058495
CO
Other
Enumeration date
07/03/2013
Last updated
10/12/2021
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