Vicki Larson is a Specialist in Phoenix, Arizona. Vicki Larson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Vicki Larson is 1902934342. The last update date is 2007-07-08.
Vicki Larson's current location address is 10930 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 6022637600 and fax number 6022120365. The mailing address for Vicki Larson is 10930 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki Larson |
|---|---|
| Address | 10930 N Tatum Blvd, Phoenix, Arizona |
| Phone Number | 6022637600 |
| Fax Number | 6022120365 |
| Sole Proprietor | Y |
| Credentials | CCP |
NPI Number Detail
| NPI Number | 1902934342 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10930 N Tatum Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850286069 |
| Phone Number | 6022637600 |
| Fax Number | 6022120365 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Vicki Larson by the Centers for Medicare & Medicaid Services?
The Vicki Larson has been issued the NPI (National Provider Identifier) 1902934342, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Vicki Larson's physical address?
The Vicki Larson is physically located at 10930 N Tatum Blvd, in the city of Phoenix, AZ, with the postal code 850286069.
What is Vicki Larson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Vicki Larson is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Vicki Larson receive the assignment of its 1902934342 from the Centers for Medicare & Medicaid Services?
The Vicki Larson was issued its 1902934342 by the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the information pertaining to Vicki Larson most recently updated or revised?
The details related to Vicki Larson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.