DEREK THOMAS LARSON

SAN DIEGO, CA
NPI1104165034
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: VA  0102203897)
Additional Taxonomies208D00000X General Practice
(Licence: VA  0102203897)
Enumeration Date2013-02-13
Last Update Date2023-08-14
Business Address
Dr. DEREK THOMAS LARSON D.O.
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-7478
Mailing Address
Dr. DEREK THOMAS LARSON D.O.
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-7478