Individual
BENJAMIN THAYNE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25495 MEDICAL CENTER DR STE 204, MURRIETA, CA 92562
(951) 698-1901
(951) 364-3639
Mailing address
25495 MEDICAL CENTER DR STE 204, MURRIETA, CA 92562-4903
(951) 698-1901
(951) 698-8232
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A136009
CA
Other
Enumeration date
04/22/2009
Last updated
09/09/2024
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