DR. Dennis P Larson, M.D.

NPI #1003096140 in Belleville, Illinois

Provider Information

NPI Number: 1003096140
Entity Type: Individual
Name: DR. Dennis P Larson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 6, 2007
Last Updated: Nov 6, 2007

Practice Location

Address: 509 E WATERS EDGE DR
City: Belleville
State: Illinois
ZIP Code: 62221-7813
Phone: (618) 235-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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