CHARLES STEVEN LARSEN

SCOTTSDALE, AZ
NPI1164496030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: AZ  3179)
Additional Taxonomies363A00000X Physician Assistant
(Licence: AZ  3179)
363AS0400X Physician Assistant, Surgical
(Licence: AZ  3179)
Enumeration Date2006-02-15
Last Update Date2019-01-22
Business Address
CHARLES STEVEN LARSEN PA
3501 N SCOTTSDALE RD STE 130
SCOTTSDALE, AZ 85251-5649
Phone number: 480-425-5000
Mailing Address
CHARLES STEVEN LARSEN PA
2323 W ROSE GARDEN LN
PHOENIX, AZ 85027-2530
Phone number: 602-521-6200