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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AMANDA CELEST ROOF LARSON, M.D.

Active

DR. AMANDA CELEST ROOF LARSON, M.D. is a Pediatric Orthopaedic Surgery healthcare provider located in TACOMA, Washington. NPI 1336464544 is currently active in the NPPES registry. Verify at CMS.

Pediatric Orthopaedic Surgery · TACOMA, WA

Registration Details

NPI Number
1336464544
Provider Type
Individual
Gender
Female
NPI Issued
Mar 30, 2010 (16.385562853803 yrs)
Last Updated
Feb 27, 2019
Licenses
43587 (IA)
65700 (WI)
MD60482537 (WA)
MD60482537 (WA)

Practice Information

Address
315 MARTIN LUTHER KING JR WAY
TACOMA, WA, 984054234
Browse WA providers · Browse ZIP 98405
Phone
2534031000
Primary Specialty
Pediatric Orthopaedic Surgery
207XP3100X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Pediatric Orthopaedic Surgery

Other Pediatric Orthopaedic Surgery Providers in TACOMA, WA

Name Credential NPI
NATHAN LEE FROST MD 1306904552
REBECCA COLEEN WHITESELL M.D., M.P.H. 1265690119
DR. MONTE V. A. SQUIERS MD 1285016220
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.