Individual
DR. DANIEL KURTIS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7757 N. DEERFIELD, PRESSCOTT, AZ 86305-7747
(928) 728-5626
(509) 835-4058
Mailing address
7757 N. DEERFIELD, PRESCOTT, AZ 86305-7747
(928) 728-5626
(509) 835-4058
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007012
—
WA
Enumeration date
07/31/2006
Last updated
12/29/2011
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