Charles Steven Larsen in Phoenix - Physician Assistant
Charles Steven Larsen - NPI 1164496030
Charles Steven Larsen is a Physician Assistant in Phoenix, Arizona. Charles Steven Larsen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Steven Larsen is 1164496030. The last update date is 2019-01-22.
Charles Steven Larsen's current location address is 2323 W Rose Garden Ln, Phoenix, Arizona. You can contact this provider via phone number 6025216200 and fax number 6238425640. The mailing address for Charles Steven Larsen is 2323 W Rose Garden Ln, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charles Steven Larsen |
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Address | 2323 W Rose Garden Ln, Phoenix, Arizona |
Phone Number | 6025216200 |
Fax Number | 6238425640 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1164496030 |
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Provider Enumeration Date | 2006-02-15 |
Last Updated Date | 2019-01-22 |
Provider Mailing Address Detail
Address | 2323 W Rose Garden Ln |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850272530 |
Phone Number | 6025216200 |
Fax Number | 6238425640 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 3179 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
636186 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Charles Steven Larsen by the Centers for Medicare & Medicaid Services?
The Charles Steven Larsen has been issued the NPI (National Provider Identifier) 1164496030. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charles Steven Larsen is located?
The Charles Steven Larsen is situated at the following address: 2323 W Rose Garden Ln, Phoenix, AZ, 850272530.
On what date did Charles Steven Larsen receive its 1164496030 assignment from the Centers for Medicare & Medicaid Services?
The Charles Steven Larsen was assigned its 1164496030 on 2006-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1164496030 to Charles Steven Larsen?
The Centers for Medicare & Medicaid Services assigned the 1164496030 to Charles Steven Larsen on 2006-02-15.
When was the information related to Charles Steven Larsen most recently updated or refreshed?
The details pertaining to the Charles Steven Larsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-01-22.
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