Individual
KAITLIN JESSICA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2631 N 70TH PL, SCOTTSDALE, AZ 85257-1343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
011938
AZ
2086S0127X
Trauma Surgery Physician
Primary
011938
AZ
Other
Enumeration date
04/18/2019
Last updated
09/22/2025
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