STEPHEN LARSON

BRIDGETON, MO
NPI1386755775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2003010856)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- STEPHEN LARSON MD
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-6000
Mailing Address
-- STEPHEN LARSON MD
PO BOX 4853
OAK BROOK, IL 60522-4853
Phone number: 314-344-6000
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