Individual
DR. NELS V LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS DC RD
Contact information
Practice address
5099 W DOBBINS RD, STE B, LAVEEN, AZ 85339-9733
(602) 237-2555
(480) 275-3774
Mailing address
PO BOX 91, LAVEEN, AZ 85339-0091
(602) 237-2555
(480) 275-3774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7110
AZ
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7139212
AETNA
AZ
01
—
AZ0156940
BC/BS
AZ
Enumeration date
05/04/2006
Last updated
07/09/2014
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