Rodney Larcom, PA Valid NPI
Individual provider · Physician Assistant · Brockton, MA
- NPI
- 1467483008
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 596 (MA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-05
- Last updated
- 2016-06-15
Practice location
110 Liberty St
Brockton, MA 02301-5521
(508) 565-3055