National Provider Identifier
Richard Larsson, PA
Richard Larsson, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Franklinville, NY and a listed phone number of (716) 676-2212.
Profile Overview
- NPI
- 1063412963
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 21, 2005
- Last Updated
- February 16, 2012
Practice Location
- 12 S Main St
- Franklinville, NY 14737-1224
Phone: (716) 676-2212
Mailing Address
- 535 Main St
- Olean, NY 14760-1513
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1063412963
- Entity Type
- Individual
- Last Name
- Larsson
- First Name
- Richard
- Credential
- PA
- Mailing Street Address
- 535 Main St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1513
- Mailing Country
- US
- Mailing Phone
- (716) 372-0141
- Mailing Fax
- (716) 372-6421
- Practice Street Address
- 12 S Main St
- Practice City
- Franklinville
- Practice State
- NY
- Practice ZIP Code
- 14737-1224
- Practice Country
- US
- Practice Phone
- (716) 676-2212
- Practice Fax
- (716) 676-2432
- Enumeration Date
- July 21, 2005
- Last Updated
- February 16, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 02220780 (NY)