Individual
CHRISTOPHER RYAN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6901 SIMMONS LOOP, RIVERVIEW, FL 33578-9498
(813) 302-8000
Mailing address
2502 W SAINT ISABEL ST, TAMPA, FL 33607-6318
(813) 874-5707
(813) 874-5908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11595
MN
363A00000X
Physician Assistant
Primary
PA9115279
FL
Other
Enumeration date
02/11/2010
Last updated
09/21/2022
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