Search › Virginia › Sports Medicine (Family Medicine) Physician
Shane Larson, M.D
NPI 1750601191 · on the registry since 2010
Practice
- Address
- 576 Jefferson Ave
Fort Eustis, VA 23604 - Phone
- (757) 820-1043
- Fax
- (757) 820-1122
- Organisation at this address
- Ahc Mcdonald-Eustis
Mcdonald Army Health Care Center
Mcdonald Army Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 154
Additional practice sites
- 2817 Reilly Road, Fort Bragg, NC
Registry record
- Primary taxonomy
- Sports Medicine (Family Medicine) Physician
207QS0010X
- Also registered as
- Family Medicine Physician
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia