person
Robert Wayne Larsen, DPM
Foot & Ankle Surgery Podiatrist in Folsom, California
NPI 1427046770

Robert Wayne Larsen is a Foot & Ankle Surgery Podiatrist based in Folsom, CA and is specialized in Foot & Ankle Surgery. Robert Wayne Larsen practices in Folsom, CA and has the professional credentials of DPM. The NPI Number for Robert Wayne Larsen is 1427046770 and holds a License No. E2687 (California).

The current practice location address for Robert Wayne Larsen is 1600 Creekside Dr, Folsom, CA and can be reached out via phone at 916-983-8555 and via fax at 916-983-8568.

Location: 1600 Creekside Dr, Folsom, CA, 95630-3444
person
Provider Profile Details
NPI Number
1427046770
Provider Name
Robert Wayne Larsen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1600 Creekside Dr, Folsom, CA, 95630-3444
Phone Number
916-983-8555
Fax Number
916-983-8568
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E26870 05 CA
318089200 01 DEPT OF LABOR
000E26872 05 CA
480017653 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1600 Creekside Dr
City
State
Zip
95630-3444
Phone Number
916-983-8555
Fax Number
916-983-8568
person
Provider Business Mailing Address Details
Address
1600 Creekside Dr
City
State
Zip
95630-3444
Phone Number
916-983-8555
Fax Number
916-983-8568
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E2687 (California)
Definition
Definition to come...
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