Thomas Jennings Larson JR., DPM

NPI #1336149483 in Omaha, Nebraska

Provider Information

NPI Number
1336149483
Entity Type
Individual
Name
Thomas Jennings Larson JR., DPM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist
Credential
DPM
Enumeration Date
Jul 29, 2005
Last Updated
Feb 20, 2008

Practice Location

Address
2821 S 87TH AVE
City
Omaha
ZIP Code
68124-3046
Phone
(402) 391-0960

Specialties & Taxonomy Codes

Specialty
Podiatrist

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Organizations

Provider Name
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