Jodie S Larson, OD

NPI #1417942251 in Madison, South Dakota

Provider Information

NPI Number: 1417942251
Entity Type: Individual
Name: Jodie S Larson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 19, 2005
Last Updated: Oct 9, 2007

Practice Location

Address: 302 N HARTH AVE
City: Madison
State: South Dakota
ZIP Code: 57042-2219
Phone: (605) 256-6911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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