Individual
DR. JEFFREY R. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9250 N 32ND PL, PHOENIX, AZ 85028-4917
(602) 795-4620
(602) 795-4620
Mailing address
9250 N 32ND PL, PHOENIX, AZ 85028-4917
(602) 795-4620
(602) 795-4620
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
40406
AZ
Other
Enumeration date
01/10/2007
Last updated
07/17/2013
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