Douglas C Larsen, PA

NPI #1053386631 in Omaha, Nebraska

Provider Information

NPI Number: 1053386631
Entity Type: Individual
Name: Douglas C Larsen, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 17, 2006
Last Updated: Sep 9, 2024

Practice Location

Address: 2725 S 144TH ST STE 212
City: Omaha
State: Nebraska
ZIP Code: 68144-5253
Phone: (402) 609-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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