NPI 1033851092

Ross Larson, DO

Practitioner Student in an Organized Health Care Education/Training Program Glendale, AZ

Practice location

Address: 18701 N 67th Ave # 85308, Glendale, AZ 85308-7100
Phone: (510) 557-5627
Mailing address: 18701 N 67th Ave, Glendale, AZ 85308-7100

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033851092
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2022
Record last updated: 10 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.