RICHARD E LARSEN

SANTA TERESA, NM
NPI1235182312
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  N99PA22)
Enumeration Date2006-05-18
Last Update Date2022-07-21
Business Address
Mr. RICHARD E LARSEN PA C
5290 MCNUTT ROAD
SANTA TERESA, NM 88008-1590
Phone number: 505-589-1144
Mailing Address
Mr. RICHARD E LARSEN PA C
5290 MCNUTT ROAD PO BOX 1590
SANTA TERESA, NM 88008-1590
Phone number: 505-589-1144
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