Bruce L. Larva, M.D.

General Practice Physician · Saint Joseph, MI

Individual Active NPI

NPI number 1720398563

Practice location

3434 Celina Ave
Saint Joseph, MI 49085-3711
Phone
(269) 429-7225

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NPI record

NPI
1720398563
Entity type
Individual (Type 1)
Enumeration date
October 14, 2010
Last updated
October 14, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 4301038611 MI

Mailing address

1901 Niles Ave
Suite 101
Saint Joseph, MI 49085-1615
Phone
(269) 983-0929
Fax
(269) 983-0929

About Dr. Larva

Bruce L. Larva, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 3434 Celina Ave, Saint Joseph, MI 49085-3711. The NPI number 1720398563 was assigned on October 14, 2010 and the record was last updated on October 14, 2010.

Dr. Larva lists a license in the registry: #4301038611 (MI) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bruce L. Larva, M.D.?

The NPI number is 1720398563.

What is the phone number of Dr. Larva?

The phone number listed for the practice location is (269) 429-7225.

Where is Dr. Larva located?

3434 Celina Ave, Saint Joseph, MI 49085-3711.

What is the taxonomy code for Dr. Larva?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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