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Dr. Mark W Larson, MD
Specialist in Ellensburg, Washington
NPI 1194784090

Mark W Larson is a Specialist based in Ellensburg, WA. Mark W Larson practices in Ellensburg, WA and has the professional credentials of MD. The NPI Number for Mark W Larson is 1194784090 and holds a License No. 2520900035733 (Washington).

The current practice location address for Mark W Larson is 716 E Manitoba Ave, Ellensburg, WA and can be reached out via phone at 509-925-3151.

Location: 716 E Manitoba Ave, Ellensburg, WA, 98926-3842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194784090
Provider Name
Mark W Larson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
716 E Manitoba Ave, Ellensburg, WA, 98926-3842
Phone Number
509-925-3151
Fax Number
Provider Enumeration Date
03/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8219073 05 WA
institution
Provider Business Practice Location Address Details
Address
716 E Manitoba Ave
City
Ellensburg
State
Washington
Zip
98926-3842
Phone Number
509-925-3151
Fax Number
person
Provider Business Mailing Address Details
Address
716 E Manitoba Ave
City
Ellensburg
State
Washington
Zip
98926-3842
Phone Number
509-925-3151
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2520900035733 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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