IndividualActive
Charles Larsen, D.O.
NPI 1902169972 · Family Medicine Physician · Maryland Heights, MO
Provider details
- NPI number
- 1902169972
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 2015023172 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2024 Dorsett Vlg
Maryland Heights, MO 63043-2208
Phone: (314) 590-0550
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 955534
Saint Louis, MO 63195-5534
Registry dates
- Enumerated
- 2012-06-24
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.