Individual
DR. DOUGLAS RAY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2548 E 7TH AVE, FLAGSTAFF, AZ 86004-3719
(928) 526-8533
Mailing address
2548 E 7TH AVE, FLAGSTAFF, AZ 86004-3719
(928) 526-8533
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5062
AZ
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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