Michael Craig Larsen an Optometric Corporation
NPI #1518291772 in Travis Afb, California
Provider Information
- NPI Number
- 1518291772
- Entity Type
- Organization
- Organization Name
- Michael Craig Larsen an Optometric Corporation
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 21, 2009
- Last Updated
- Sep 21, 2009
Practice Location
- Address
- 461 SKYMASTER CIR
- City
- Travis Afb
- State
- California
- ZIP Code
- 94535-1909
- Phone
- (707) 437-4095
Authorized Official
- Name
- MICHAEL LARSEN, OD
- Title
- OWNER
- Phone
- (801) 444-1411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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