Gregory R. Larson, MD
Family Medicine in Watertown, SD. Individual provider (NPI-1).
NPI number1629036645
StatusActive
Last updated in NPPESMay 17, 2022
Details
- NPI
- 1629036645
- Entity type
- Individual (NPI-1)
- Name
- Gregory R. Larson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Certification date
- May 17, 2022
- Last updated
- May 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3698 | SD | Yes |
Practice location
511 14th Ave NeWatertown, SD 57201-6811
Phone 605-886-8482 · Fax 605-884-4300
Mailing address
506 1st Ave SeWatertown, SD 57201-4402
Phone 605-886-8482 · Fax 605-884-4300
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All 27 Family Medicine Physician providers in Watertown · All 742 providers in Watertown
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