Whalio Doctors

NPI 1003279456

Cody Braxton Larsen, MD

Practitioner Emergency Medicine Physician Glen Dale, WV

Practice location

Address
800 Wheeling Ave, Glen Dale, WV 26038-1660
Phone
(304) 845-3211
Mailing address
263 18th Ave, San Francisco, CA 94121-2314

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 29862 (WV)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 25MA10897300 (NJ)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 304201 (NY)

Registry record

NPI
1003279456
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Apr 2016
Record last updated
20 Apr 2022

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.