Individual
DR. ANDREW ROBERT LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
801 E HILLTOP AVE, FLAGSTAFF, AZ 86001-4738
(734) 262-2430
Mailing address
801 E HILLTOP AVE, FLAGSTAFF, AZ 86001-4738
(734) 262-2430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2015-0683
NM
Other
Enumeration date
04/23/2012
Last updated
11/17/2015
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