Roger K Larson MD Ps
NPI #1093708422 in Burien, Washington
Provider Information
- NPI Number
- 1093708422
- Entity Type
- Organization
- Organization Name
- Roger K Larson MD Ps
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 31, 2005
- Last Updated
- Sep 19, 2011
Practice Location
- Address
- 14212 AMBAUM BLVD SW
- Address 2
- SUITE 201
- City
- Burien
- State
- Washington
- ZIP Code
- 98166-1449
- Phone
- (206) 244-5477
Authorized Official
- Name
- ROGER K LARSON, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (206) 244-5477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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