| NPI | 1154495828 |
|---|---|
| Doing Business As | ANGIE R LARSEN MD |
| Entity Type | Organization |
| Authorized Contact | ANGIE LARSEN Owner 615-832-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 30449) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-08-21 |