Dr. Jordan Reeve Larsen
Pediatric Emergency Doctor
940 Ne 13th St Gt 2300
Oklahoma City
, Oklahoma 73104-5008
Dr. Jordan Reeve Larsen
Pediatric Emergency Doctor
940 Ne 13th St Gt 2300
Oklahoma City
, Oklahoma 73104-5008
(405) 271-2429
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Jordan Reeve Larsen
- 940 Ne 13th St Gt 2300
- Oklahoma City, OK
- Zip : 73104-5008
- Phone : (405) 271-2429
Second Address
- Dr. Jordan Reeve Larsen
- 940 Ne 13th St Gt 2300
- Oklahoma City, OK
- Zip : 73104-5008
- Phone : (405) 271-2429
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 5764 | OK |
National Provider Identifier
| NPI | 1215299490 |
|---|---|
| Provider Name | Dr. Jordan Reeve Larsen |
| First Address | Oklahoma City, OK 73104-5008 |
| Second Address | Oklahoma City, OK 73104-5008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2012 |
| Last Update Date | 06/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.