Individual provider · Type 1 NPI
Robert Larson, D.P.M.
Foot & Ankle Surgery Podiatrist · North Las Vegas, NV
NPI number
1366532913
Active
Practice location
4701 N. Las Vegas Blvd.
North Las Vegas, NV 89191
Fax (702) 653-2790
Mailing address
7245 W La Madre Way
Las Vegas, NV 89149-5858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | NV9604 (NV) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 9604 (NV) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1366532913
Robert Larson, D.P.M.'s National Provider Identifier is 1366532913, issued on Oct 13, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in North Las Vegas, NV. The record was last updated on Jul 8, 2007.