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Contact Information

JEROME W LARSON, MD
5801 E 41ST ST STE 900
TULSA, OK74135-5631
 Phone: 918-747-4975
 Fax: 918-743-8552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEROME W LARSON · (Male)

NPI # 1902242654
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2013
Last updated 11/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A162079
  • IL License # 125062965
  • OK License # 35610
Hospital affiliation(s)
  • SAINT FRANCIS HOSPITAL INC - (Acute Care)
    6161 SOUTH YALE
    TULSA, OK 74136
  • SAINT FRANCIS HOSPITAL SOUTH - (Acute Care)
    10501 EAST 91ST STREET SOUTH
    TULSA, OK 74133
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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