Dr Matthew Daniel Larson, MD | |
201 W 69th St, Sioux Falls, SD 57108-2403 | |
(605) 336-0635 | |
Not Available |
Full Name | Dr Matthew Daniel Larson |
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Gender | Male |
Speciality | Urology |
Location | 201 W 69th St, Sioux Falls, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346703634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 77624 (Minnesota) | Primary |
Entity Name | Urology Specialists Chartered |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881647246 PECOS PAC ID: 9234031329 Enrollment ID: O20040121000003 |
Entity Name | Madison Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20040423000982 |
Entity Name | Madison Community Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1588644058 PECOS PAC ID: 3779579743 Enrollment ID: O20101012001097 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Daniel Larson, MD 7107 Harrison St, Kansas City, MO 64131-1607 Ph: (605) 321-6428 | Dr Matthew Daniel Larson, MD 201 W 69th St, Sioux Falls, SD 57108-2403 Ph: (605) 336-0635 |
Darlys R Hofer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-336-7182 | |
Dr. Dennis Thum, Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Eugene S Park, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th Street, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Dr. Nathan Andrew Bockholt, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-271-0543 | |
Robert C Johnson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Euclid Ave, Ste # 212, Sioux Falls, SD 57105 Phone: 605-336-0635 Fax: 605-336-7182 | |
David E Rosinsky, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 201 W 69th St, Sioux Falls, SD 57108 Phone: 605-336-0635 Fax: 605-336-7182 |