Individual
PAUL WILLIAM LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2603 S 4TH AVE, YUMA, AZ 85364-7256
(928) 726-8346
(888) 418-8515
Mailing address
2603 S 4TH AVE, YUMA, AZ 85364-7256
(928) 726-8346
(888) 418-8515
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
00774
AZ
207L00000X
Anesthesiology Physician
41014
AZ
Other
Enumeration date
05/05/2009
Last updated
09/27/2021
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