Matthew James Larson in Eagan - Dermatology
Matthew James Larson - NPI 1154386423
Matthew James Larson is a Dermatology in Eagan, Minnesota. Matthew James Larson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Matthew James Larson is 1154386423. The last update date is 2013-10-02.
Matthew James Larson's current location address is 1215 Town Centre Dr, Eagan, Minnesota. You can contact this provider via phone number 6512513300 and fax number 6512553450. The mailing address for Matthew James Larson is 1215 Town Centre Dr, Eagan, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew James Larson |
|---|---|
| Address | 1215 Town Centre Dr, Eagan, Minnesota |
| Phone Number | 6512513300 |
| Fax Number | 6512553450 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154386423 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2013-10-02 |
Provider Mailing Address Detail
| Address | 1215 Town Centre Dr |
|---|---|
| City | Eagan |
| State | Minnesota (MN) |
| Post Code | 551231033 |
| Phone Number | 6512513300 |
| Fax Number | 6512553450 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 46578 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70001049 | MN | MEDICARE PTAN | |
| 0FE27LA | MN | BLUE SHIELD | |
| 30001093 | MN | MEDICA | |
| P01199766 | MN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew James Larson by the Centers for Medicare & Medicaid Services?
The Matthew James Larson has been assigned the NPI (National Provider Identifier) 1154386423. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Matthew James Larson is located?
The Matthew James Larson is situated at the following address: 1215 Town Centre Dr, Eagan, MN, 551231033.
What is Matthew James Larson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Matthew James Larson is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did Matthew James Larson receive its 1154386423 assignment from the Centers for Medicare & Medicaid Services?
The Matthew James Larson was assigned its 1154386423 on 2006-04-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Matthew James Larson's details last updated?
The information pertaining to the Matthew James Larson, including its address, specialty, and other details, was most recently updated on 2013-10-02.
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