Brian J Larson, CNIM

NPI #1083836639 in Effingham, Illinois

Provider Information

NPI Number
1083836639
Entity Type
Individual
Name
Brian J Larson, CNIM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other - Electroneurodiagnostic
Credential
CNIM
Enumeration Date
May 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
905 W ST ANTHONY AVE
ZIP Code
62401
Phone
(217) 342-7256

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - ElectroneurodiagnosticElectroneurodiagnostic

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