Roger K Larson Md Ps | |
14212 Ambaum Blvd Sw Suite 201 Burien WA 98166-1449 | |
(206) 244-5477 | |
Not Available |
Full Name | Roger K Larson Md Ps |
---|---|
Speciality | Family Medicine |
Location | 14212 Ambaum Blvd Sw, Burien, Washington |
Authorized Official Name and Position | Roger K Larson (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2062445477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roger K Larson Md Ps 14212 Ambaum Blvd Sw Suite 201 Burien WA 98166-1449 Ph: (206) 244-5477 | Roger K Larson Md Ps 14212 Ambaum Blvd Sw Suite 201 Burien WA 98166-1449 Ph: (206) 244-5477 |
NPI Number | 1093708422 |
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Provider Enumeration Date | 08/31/2005 |
Last Update Date | 09/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093708422 | NPI | - | NPPES |
011899328 | Other | WA | RR MEDICARE |
7132384 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00007073 (Washington) | Primary |
Margaret L Larson Arnp Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16233 Sylvester Rd Sw, Suite G30, Burien, WA 98166 Phone: 206-244-5477 | |
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