Larson, Jerome William

Larson, Jerome William is an individual health care provider with primary practice located at 5801 E 41St St Ste 900 , Tulsa OK 74135-5631. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Larson, Jerome William can be contacted via phone (918) 747-4975.

Contact Information

Primary practice address
5801 E 41St St Ste 900 Tulsa OK 74135-5631
Phone: (918) 747-4975
Fax: (918) 743-8552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35610 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X 125062965 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X A162079 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 35610 Oklahoma

Profile Details

NPI number 1902242654
LBN Legal business name Larson, Jerome William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated Nov 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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