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Calvin Larsen, PA-C
Medical Physician Assistant in Randallstown, Maryland
NPI 1659033801

Calvin Larsen is a Medical Physician Assistant based in Randallstown, MD and is specialized in Medical. Calvin Larsen practices in Randallstown, MD and has the professional credentials of PA-C. The NPI Number for Calvin Larsen is 1659033801 and holds a License No. (Maryland).

The current practice location address for Calvin Larsen is 5401 Old Court Rd, Randallstown, MD and can be reached out via phone at 410-521-2200.

Location: 5401 Old Court Rd, Randallstown, MD, 21133-5103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659033801
Provider Name
Calvin Larsen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5401 Old Court Rd, Randallstown, MD, 21133-5103
Phone Number
410-521-2200
Fax Number
Provider Enumeration Date
10/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5401 Old Court Rd
City
Randallstown
State
Maryland
Zip
21133-5103
Phone Number
410-521-2200
Fax Number
person
Provider Business Mailing Address Details
Address
5401 Old Court Rd
City
Randallstown
State
Maryland
Zip
21133-5103
Phone Number
410-521-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
C0008209 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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