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Dr. Paul Richard Larsen, MD
Family Medicine Physician in Chewelah, Washington
NPI 1720189749

Paul Richard Larsen is a Family Medicine Physician based in Liberty Lake, WA. Paul Richard Larsen practices in Chewelah, WA and has the professional credentials of MD. The NPI Number for Paul Richard Larsen is 1720189749 and holds a License No. MD00037362 (Washington).

The current practice location address for Paul Richard Larsen is 100 W South Ave, Chewelah, WA and can be reached out via phone at 509-935-8111 and via fax at 509-935-8402.

Location: 100 W South Ave, Chewelah, WA, 99019-0421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720189749
Provider Name
Paul Richard Larsen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 W South Ave, Chewelah, WA, 99019-0421
Phone Number
509-935-8111
Fax Number
509-935-8402
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8241929 05 WA
CE9078 01 WA RAILROAD MEDICARE
129298 01 WA LABOR & INDUSTRIES ID #
institution
Provider Business Practice Location Address Details
Address
100 W South Ave
City
Chewelah
State
Washington
Zip
99019
Phone Number
509-935-8111
Fax Number
509-935-8402
person
Provider Business Mailing Address Details
Address
100 W South Ave
City
Chewelah
State
Washington
Zip
99019
Phone Number
509-935-8111
Fax Number
509-935-8402
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD00037362 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
MD00037362 (Washington)
Definition
Definition to come...
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