Individual
JAMES WADE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
280 N WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-5273
(928) 532-0999
Mailing address
PO BOX 3323, SHOW LOW, AZ 85902-3323
(928) 532-0999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AZ535
AZ
Other
Enumeration date
01/02/2007
Last updated
08/31/2017
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