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Organization

VEIN CENTER OF ARIZONA

Active
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Organization

VEIN CENTER OF ARIZONA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL W LARSON MD (PHYSICIAN)
(928) 750-8975
Entity
Organization

Contact information

Practice address
2603 S 4TH AVE, YUMA, AZ 85364-7256
(928) 726-8346
(888) 418-8515
Mailing address
2603 S 4TH AVE, YUMA, AZ 85364-7256
(928) 750-8975

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
207L00000X
Anesthesiology Physician
41014
AZ
207L00000X
Anesthesiology Physician

Other

Enumeration date
07/09/2014
Last updated
03/26/2023
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