Kenneth B Larson, PA

NPI #1043379829 in Safford, Arizona

Provider Information

NPI Number: 1043379829
Entity Type: Individual
Name: Kenneth B Larson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 7, 2006
Last Updated: Feb 21, 2017

Practice Location

Address: 1600 S 20TH AVE
City: Safford
State: Arizona
ZIP Code: 85546-4011
Phone: (928) 348-4021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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