Individual provider · Type 1 NPI
Brian J. Larson, CNIM
Electroneurodiagnostic Specialist/Technologist · Effingham, IL
NPI number
1083836639
Active
Practice location
905 W St Anthony Ave
Effingham, IL 62401
Mailing address
PO Box 1527
Effingham, IL 62401-1527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
About NPI 1083836639
Brian J. Larson, CNIM's National Provider Identifier is 1083836639, issued on May 3, 2007. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Effingham, IL. The record was last updated on Jul 8, 2007.