DR. MARK LARSON, M.D.
Specialist
Active
Individual
NPI: 1194784090
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | No | MD00035733 (WA) |
| Specialist | 174400000X | Yes | 2520900035733 (WA) |
Frequently Asked Questions
NPI 1194784090 is the National Provider Identifier for DR. MARK LARSON, M.D., a Specialist provider located in Ellensburg, WA. This NPI was enumerated on March 20, 2006.
DR. MARK LARSON, M.D. practices at 716 E MANITOBA AVE, Ellensburg, WA 98926.
Quick Facts
- NPI
- 1194784090
- Type
- Individual
- Enumerated
- Mar 20, 2006
- Last Updated
- May 15, 2025
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