NPI | 1083643902 |
---|---|
Former Legal Business Name | BRUCE C LARSON MD & ASSOC LTD |
Entity Type | Organization |
Authorized Contact | BRUCE C LARSON President 630-325-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2006-07-02 |
Last Update Date | 2010-08-25 |