Organization
CENTER FOR COLON AND RECTAL DISEASES PLC
Active
Other names
DAVID M LARSON MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL LARSON M.D. (OWNER)
(480) 964-0707
Entity
Organization
Contact information
Practice address
1500 S DOBSON RD, SUITE 313, MESA, AZ 85202-4713
(480) 964-0707
(480) 464-0588
Mailing address
1500 S DOBSON ROAD, SUITE 313, MESA, AZ 85202-4713
(480) 964-0707
(480) 464-0588
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12943
AZ
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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