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Individual

JOSHUA LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 545-7345
Mailing address
1700 E SUNRISE BLVD APT 1714, FORT LAUDERDALE, FL 33304-2395
(801) 851-0670

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q9182
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2013
Last updated
10/31/2018
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