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Contact Information

BRIAN J LARSON, MD
3485 INDEPENDENCE DR
HOMEWOOD, AL35209-5603
 Phone: 205-414-4402
 Fax: 205-414-4425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for BRIAN J LARSON · (Male)

NPI # 1861498370
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2005
Last updated 09/28/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 11787
  • AL Other 0366100001 CIGNA GOVERNMENT SERVICES PTAN
  • AL Other 0366100001 MC NSC
  • AL Other P00462711 RAILROAD MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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