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

DR. LARKIN TYLER WADSWORTH III, MD

Active

DR. LARKIN TYLER WADSWORTH III, MD is a Sports Medicine healthcare provider located in SAINT LOUIS, Missouri. NPI 1851486575 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · SAINT LOUIS, MO

Registration Details

NPI Number
1851486575
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.891986740402 yrs)
Last Updated
Aug 10, 2012
Licenses
103386 (MO)
036118172 (IL)
036118172 (IL)

Practice Information

Address
8225 CLAYTON RD
SAINT LOUIS, MO, 631171107
Browse MO providers · Browse ZIP 63117
Phone
3147217325
Fax
3147211157
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine
Additional Specialty
Family Medicine

Other Sports Medicine Providers in SAINT LOUIS, MO

Name Credential NPI
STEVEN STAHLE M.D. 1578672341
CHRISTIAN VERRY MD 1063568640
DR. WILLIAM A. MITCHELL III M.D. 1497958508
HA MINH HOANG D.O. 1376778076
DAVID L LEE MD 1114458023
TYLER JAMES GOUGE MD 1275062432
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.