| NPI | 1124273032 |
|---|---|
| Other Name | DAVID M LARSON MD |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL LARSON Owner 480-964-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 12943) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |