Jeremy Todd Larson in Kodiak - Family Medicine
Jeremy Todd Larson - NPI 1548366891
Jeremy Todd Larson is a Family Medicine in Kodiak, Alaska. Jeremy Todd Larson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeremy Todd Larson is 1548366891. The last update date is 2009-10-04.
Jeremy Todd Larson's current location address is 1818 E Rezanof Dr, Kodiak, Alaska. You can contact this provider via phone number 9074866065 and fax number 9074862248. The mailing address for Jeremy Todd Larson is 1818 E Rezanof Dr, Kodiak, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Todd Larson |
|---|---|
| Address | 1818 E Rezanof Dr, Kodiak, Alaska |
| Phone Number | 9074866065 |
| Fax Number | 9074862248 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1548366891 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2009-10-04 |
Provider Mailing Address Detail
| Address | 1818 E Rezanof Dr |
|---|---|
| City | Kodiak |
| State | Alaska (AK) |
| Post Code | 99615 |
| Phone Number | 9074866065 |
| Fax Number | 9074862248 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4934 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8419657 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeremy Todd Larson by the Centers for Medicare & Medicaid Services (CMS)?
The Jeremy Todd Larson has been assigned the NPI (National Provider Identifier) 1548366891. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jeremy Todd Larson is physically located?
The Jeremy Todd Larson is situated at the following address: 1818 E Rezanof Dr, Kodiak, AK 99615.
What is Jeremy Todd Larson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeremy Todd Larson is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did the Jeremy Todd Larson receive its 1548366891?
The Jeremy Todd Larson was issued its 1548366891 on 2006-09-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jeremy Todd Larson most recently updated?
The details pertaining to the Jeremy Todd Larson, including its address, specialty, and other relevant information, were last refreshed on 2009-10-04.
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