Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL WILLIAM LARSON, MD
Active Sole ProprietorPAUL WILLIAM LARSON, MD is a 202K00000X healthcare provider located in YUMA, Arizona. NPI 1598999609 is currently active in the NPPES registry. Verify at CMS.
202K00000X · YUMA, AZ
Registration Details
- NPI Number
- 1598999609
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2009 (17.268622947129 yrs)
- Last Updated
- Sep 27, 2021
- Licenses
-
41014 (AZ)00774 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2603 S 4TH AVEYUMA, AZ, 853647256Browse AZ providers · Browse ZIP 85364
- Phone
- 9287268346
- Fax
- 8884188515
- Primary Specialty
-
202K00000X
202K00000X
- Additional Specialty
- 202K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.