Stephen Larson M.D.
Otolaryngology Physician in Augusta, GA(View on Map)
Full Name
Stephen Larson M.D.
NPI Number
1972980928
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/29/2015
Specialties
(Taxonomies)Code
207Y00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Georgia
License Number
85636
Contact
Information
Purpose
Mailing
Location
Address
1120 15TH ST STE BI1056
1120 15TH ST
City
Augusta
Augusta
State
GA
GA
Postal Code
30912-0004
30912-3403
Country
US
US
Telephone Number
(706) 721-3813
(706) 721-8623
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/29/2020
Provider Address
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