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

JEREMY TODD LARSON, MD

Active

JEREMY TODD LARSON, MD is a Family Medicine healthcare provider located in KODIAK, Alaska. NPI 1548366891 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · KODIAK, AK

Registration Details

NPI Number
1548366891
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2006 (19.728525284187 yrs)
Last Updated
Oct 4, 2009
Licenses
4934 (AK)
44523 (WA)

Practice Information

Address
1818 E REZANOF DR
KODIAK, AK, 99615
Browse AK providers · Browse ZIP 99615
Phone
9074866065
Fax
9074862248
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in KODIAK, AK

Name Credential NPI
DR. KEVIN JOSEPH NOLAN M.D. 1386629541
MRS. LAURA MARIE WALTERS MD 1831162825
DR. PAUL VICTOR ZIMMER MD 1265405906
DR. RANDALL C SCHICK I DO 1932172509
JOHN M KOLLER M.D. 1588721195
KEVIN CREELMAN M.D 1538205307
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.