Individual
DR. JAIVA BLAIR LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2800 E AJO WAY, UA/UPHK GME CONSORTIUM EMERGENCY MEDICINE PROGRAM, TUCSON, AZ 85713-6204
(503) 939-6612
Mailing address
2800 E AJO WAY, UA/UPHK GME CONSORTIUM EMERGENCY MEDICINE PROGRAM, TUCSON, AZ 85713-6204
(503) 939-6612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R72785
AZ
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
52282
AZ
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
52282
AZ
Other
Enumeration date
07/03/2011
Last updated
04/07/2026
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