NPI 1700205382

Stephen Nathaniel Larson, DVM

Practitioner Veterinarian Berwyn, IL

Practice location

Address: 2845 Harlem Ave, Berwyn, IL 60402-2800
Phone: (708) 749-4200
Fax: (708) 749-4269

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 090-006654 (IL)

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Registry record

NPI: 1700205382
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2014
Record last updated: 10 Apr 2014

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.