Organization
ROBERT LARSON, DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEROY LARSON DC (OWNER/PROVIDER)
(406) 655-0101
Entity
Organization
Contact information
Practice address
2147 OVERLAND AVE STE 101, BILLINGS, MT 59102-6478
(406) 655-0101
(406) 655-0032
Mailing address
2147 OVERLAND AVE STE 101, BILLINGS, MT 59102-6478
(406) 655-0101
(406) 655-0032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C 270
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011003529
MEDICARE PTAN
MT
Enumeration date
01/07/2010
Last updated
03/01/2010
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