Individual
DR. SETH HARLY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, ABFM, CSCS
Contact information
Practice address
18404 N TATUM BLVD, PHOENIX, AZ 85032-1510
(602) 485-7475
Mailing address
18404 N TATUM BLVD, PHOENIX, AZ 85032-1510
(602) 485-7475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008324
AZ
Other
Enumeration date
06/30/2015
Last updated
10/18/2024
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