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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