Jeremy Todd Larson, MD

NPI #1548366891 in Kodiak, Alaska

Provider Information

NPI Number: 1548366891
Entity Type: Individual
Name: Jeremy Todd Larson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 15, 2006
Last Updated: Oct 4, 2009

Practice Location

Address: 1818 E REZANOF DR
City: Kodiak
State: Alaska
ZIP Code: 99615
Phone: (907) 486-6065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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