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Individual

DR. BRANDON TODD LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
45568
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
106145
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
55691
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
R71711
AZ

Other

Enumeration date
07/13/2009
Last updated
10/06/2020
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