IndividualActive
Douglas Larsen, MD
NPI 1669635181 · Neurology with Special Qualifications in Child Neurology Physician · Saint Louis, MO
Provider details
- NPI number
- 1669635181
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2008018552 (MO)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 2008018552 (MO)
Allopathic & Osteopathic Physicians
Practice location
1 Childrens Pl
Div Neurology Pediatrics
Saint Louis, MO 63110-1002
Phone: (314) 362-1408
Fax: (314) 454-2523
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2008-07-03
- Last updated
- 2025-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.