NPI 1003058504
Paul R Larsen
Practice location
- Address
- 327 College Ave, Santa Rosa, CA 95401-5117
- Phone
- (707) 568-2800
- Fax
- (707) 568-2804
- Mailing address
- 327 College Ave., Santa Rosa, CA 95401
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003058504
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Mar 2009
- Record last updated
- 30 Mar 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.