Organization
JONATHAN LARSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HOST (AUTHORIZED OFFICIAL)
(949) 484-9517
Entity
Organization
Contact information
Practice address
10 N HIGH ST STE 222, COLUMBUS, OH 43215-3497
(949) 484-9517
(949) 569-1295
Mailing address
2505 ANTHEM VILLAGE DRIVE SUITE E#162, HENDERSON, NV 89052-5529
(949) 484-9517
(949) 569-1295
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/16/2025
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