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Larsen Gastroenterology, Pllc
Clinic/Center in Clarkston, Washington
NPI 1174940282

Larsen Gastroenterology, Pllc is a Clinic/Center based in Clarkston, WA. Larsen Gastroenterology, Pllc practices in Clarkston, WA. The NPI Number for Larsen Gastroenterology, Pllc is 1174940282 and holds a License No. MD 00029346 (Washington).

The current practice location address for Larsen Gastroenterology, Pllc is 625 6Th St, Clarkston, WA and can be reached out via phone at 509-758-2200.

Location: 625 6Th St, Clarkston, WA, 99403-2010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174940282
Provider Name
Larsen Gastroenterology, Pllc
Credential
Provider Entity Type
Organization
Address
625 6Th St, Clarkston, WA, 99403-2010
Phone Number
509-758-2200
Fax Number
Provider Enumeration Date
03/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2039081 05 WA
0027334 05 ID
institution
Provider Business Practice Location Address Details
Address
625 6Th St
City
Clarkston
State
Washington
Zip
99403-2010
Phone Number
509-758-2200
Fax Number
person
Provider Business Mailing Address Details
Address
625 6Th St
City
Clarkston
State
Washington
Zip
99403-2010
Phone Number
509-758-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MD 00029346 (Washington)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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