Susan A Larson in Boulder - Pediatrics

Susan A Larson - NPI 1336125632

Susan A Larson is a Pediatrics in Boulder, Colorado. Susan A Larson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan A Larson is 1336125632. The last update date is 2021-03-22.

Susan A Larson's current location address is 4745 Arapahoe Ave, Boulder, Colorado. You can contact this provider via phone number 3039384750 and fax number 3039384753. The mailing address for Susan A Larson is 4745 Arapahoe Ave, Boulder, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan A Larson
Address 4745 Arapahoe Ave, Boulder, Colorado
Phone Number 3039384750
Fax Number 3039384753
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1336125632
Provider Enumeration Date 2005-12-19
Last Updated Date 2021-03-22

Provider Mailing Address Detail

Address 4745 Arapahoe Ave
City Boulder
State Colorado (CO)
Post Code 803031080
Phone Number 3039384750
Fax Number 3039384753

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 38667
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
88455050 CO --

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FAQs about Susan A Larson

What is the Susan A Larson's unique identification number?

The Susan A Larson has been assigned the NPI (National Provider Identifier) Number 1336125632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Susan A Larson is physically located?

The Susan A Larson is situated at the following address: 4745 Arapahoe Ave, Boulder, CO 803031080.

What is Susan A Larson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Susan A Larson's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1336125632 to Susan A Larson?

The Centers for Medicare & Medicaid Services assigned the 1336125632 to Susan A Larson on 2005-12-19.

As of what date was the information pertaining to Susan A Larson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Susan A Larson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-22.

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