DR. Mark Thomas Larson, M.D.

NPI #1497973416 in Centralia, Washington

Provider Information

NPI Number: 1497973416
Entity Type: Individual
Name: DR. Mark Thomas Larson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine - Hospice and Palliative Medicine
Credential: M.D.
Enumeration Date: Apr 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 914 S SCHEUBER RD
City: Centralia
State: Washington
ZIP Code: 98531-9027
Phone: (360) 330-8785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207PH0002X	Primary

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