JEREMY TODD LARSON MD NPI 1548366891

NPI Information

Jeremy Todd Larson, MD is a family medicine in Kodiak, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jeremy Todd Larson, MD NPI is 1548366891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1818 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-6065
Fax: (907) 486-2248

The enumeration date for this NPI number is 9/15/2006 and was last updated on 10/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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