NPI 1043890742

Derek Jonathan Larsen, DC

Practitioner Chiropractor Juneau, AK

Practice location

Address: 800 Glacier Ave STE 100, Juneau, AK 99801-1852
Phone: (907) 202-8817

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 168301 (AK)

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Registry record

NPI: 1043890742
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2021
Record last updated: 8 Apr 2021

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.