Brian J Larson, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1083836639

Brian J Larson, CNIM is an Electroneurodiagnostic Specialist/Technologist in Effingham, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since: 2007

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Practice location Address checks out

905 W St Anthony Ave
Effingham, IL 62401
Phone: (217) 342-7256

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Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary)	Taxonomy 246ZE0600X

Record details

NPI number	1083836639
Entity type	Individual (Type 1)
Gender	Male
Credentials	CNIM
Sole proprietor	Yes
NPI enumerated	May 3, 2007
Last updated in NPPES	July 8, 2007
Mailing address	Po Box 1527, Effingham, IL 62401-1527