Center for Colon and Rectal Diseases Plc

NPI #1124273032 in Mesa, Arizona

Provider Information

NPI Number: 1124273032
Entity Type: Organization
Organization Name: Center for Colon and Rectal Diseases Plc
Primary Specialty: Specialist
Enumeration Date: Nov 19, 2008
Last Updated: Nov 19, 2008

Practice Location

Address: 1500 S DOBSON RD
Address 2: SUITE 313
City: Mesa
State: Arizona
ZIP Code: 85202-4713
Phone: (480) 964-0707

Authorized Official

Name: DR. DAVID MICHAEL LARSON, M.D.
Title: OWNER
Phone: (480) 964-0707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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