Individual provider · Type 1 NPI

Waleska Larice, MD

Emergency Medical Services (Emergency Medicine) Physician · Fenton, MO

NPI number 1972827830 Active

Practice location

1015 Bowles Ave
Fenton, MO 63026

Call (636) 496-2000 Map

Mailing address

58 Chesterfield Lakes Rd
Chesterfield, MO 63005-4522

Other practice locations

  • 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 · (340) 778-6311
  • 2345 Dougherty Ferry Rd, St. Louis, MO 63122-3313 · (314) 966-9100

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X2479 (VI)
Family Medicine Physician 207Q00000X036134631 (IL)
Family Medicine Physician 207Q00000XME117446 (FL)
Family Medicine Physician 207Q00000X2013020319 (MO)
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X2013020319 (MO)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

69 other providers at this address

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About NPI 1972827830

Waleska Larice, MD's National Provider Identifier is 1972827830, issued on Mar 22, 2010. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Fenton, MO. The record was last updated on Sep 12, 2018.