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Individual

PAUL S LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0350
(520) 626-4936
(520) 626-8313
Mailing address
PO BOX 245070, TUCSON, AZ 85724-5070
(520) 626-4936
(520) 626-8313

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A76564
CA
207T00000X
Neurological Surgery Physician
Primary
63422
AZ

Other

Enumeration date
10/11/2006
Last updated
07/25/2021
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