Individual
SETH EDWARD LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10474 W THUNDERBIRD BLVD, SUITE 200, SUN CITY, AZ 85351-3015
(623) 972-3800
(623) 972-1089
Mailing address
1985 TATE BLVD SE, SUITE 600, HICKERY, NC 28602-1498
(828) 328-5500
(828) 485-2517
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2006 01761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890241P
—
NC
Enumeration date
01/28/2006
Last updated
02/08/2008
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