Individual
DR. THAYNE R LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11900 N 102ND ST, SCOTTSDALE, AZ 85260-5928
(480) 620-9650
Mailing address
11900 N 102ND ST, SCOTTSDALE, AZ 85260-5928
(480) 620-9650
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38181
AZ
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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