STEPHEN LARSEN

GOODYEAR, AZ
NPI1215165584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: AZ  50775)
Additional Taxonomies208800000X Urology
(Licence: IL  125-056789)
Enumeration Date2009-06-25
Last Update Date2017-01-18
Business Address
-- STEPHEN LARSEN M.D.
13555 W MCDOWELL RD 302
GOODYEAR, AZ 85395-2624
Phone number: 623-512-4390
Mailing Address
-- STEPHEN LARSEN M.D.
17560 N 75TH AVE SUITE 440
GLENDALE, AZ 85308-5983
Phone number: 623-512-4390
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