Individual
DR. MICHELLE R LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.V.M.
Contact information
Practice address
14429 S 41ST PL, PHOENIX, AZ 85044-6147
(703) 281-0765
Mailing address
14429 S 41ST PL, PHOENIX, AZ 85044-6147
(703) 281-0765
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
6166
AZ
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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