Individual provider · Type 1 NPI

Calvin Larsen, PA-C

Medical Physician Assistant · Randallstown, MD

NPI number 1659033801 Active

Practice location

5401 Old Court Rd
Randallstown, MD 21133-5103

Other practice locations

  • 2401 W Belvedere Ave, Baltimore, MD 21215-5216 · (410) 601-9000
  • 2000 W Baltimore St, Baltimore, MD 21223-1558 · (410) 362-3000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XC0008209 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1659033801

Calvin Larsen, PA-C's National Provider Identifier is 1659033801, issued on Oct 5, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Randallstown, MD. The record was last updated on Sep 1, 2022.