Dr MARK W LARSON is a male medical professional, specializing in Family Medicine. He graduated in 1989 from University Of Kansas School Of Medicine.
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
716 E MANITOBA AVE
ELLENSBURG
WA
989263842
Tel: 5099253151
| Npi | 1194784090 |
| Pac Id | 8628114535 |
| Professional Enrollment Id | I20091007000327 |
| Last Name | LARSON |
| First Name | MARK |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Group Practice Pac Id | 0547179608 |
| Number Of Group Practice Members | 43 |
| Line 1 Street Address | 716 E MANITOBA AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 989263842 |
| Phone Number | 5099253151 |
| Hospital Affiliation Ccn 1 | 501333 |
| Hospital Affiliation Lbn 1 | KITTITAS VALLEY COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 500036 |
| Hospital Affiliation Lbn 2 | YAKIMA VALLEY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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