Gerald M Larson, MD
Surgery in Louisville, KY. Individual provider (NPI-1).
NPI number1215917232
StatusActive
Last updated in NPPESJul 30, 2009
Details
- NPI
- 1215917232
- Entity type
- Individual (NPI-1)
- Name
- Gerald M Larson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2006
- Last updated
- Jul 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 21026 | KY | Yes |
Practice location
401 E Chestnut StSuite 710
Louisville, KY 40202-5700
Phone 502-583-8303 · Fax 502-584-0302
Mailing address
401 E Chestnut StSuite 710
Louisville, KY 40202-5700
Phone 502-583-8303 · Fax 502-584-0302
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