NPI Profile for Dr JORDAN R LARSEN in OKLAHOMA CITY, OK.
A pediatrician who has special qualifications to manage emergencies in infants and children.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Emergency Medicine |
2080P0204X | 37 | Physician/Pediatric Medicine | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1215299490 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 06/13/2012 | |
| Last updated | 07/06/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JORDAN R LARSEN
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