Individual
DR. ETHAN ERIK LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7005 N ORACLE RD, TUCSON, AZ 85704-4329
(520) 771-0177
Mailing address
7005 N ORACLE RD, TUCSON, AZ 85704-4329
(520) 771-0177
(520) 300-7316
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
42811
AZ
Other
Enumeration date
08/28/2008
Last updated
04/08/2021
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