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Ross Larson, DO
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1033851092

Ross Larson is a Student in an Organized Health Care Education/Training Program based in Glendale, AZ. Ross Larson practices in Glendale, AZ and has the professional credentials of DO. The NPI Number for Ross Larson is 1033851092 and holds a License No. (Arizona).

The current practice location address for Ross Larson is 18701 N 67Th Ave # 85308, Glendale, AZ and can be reached out via phone at 510-557-5627.

Location: 18701 N 67Th Ave # 85308, Glendale, AZ, 85308-7100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033851092
Provider Name
Ross Larson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
18701 N 67Th Ave # 85308, Glendale, AZ, 85308-7100
Phone Number
510-557-5627
Fax Number
Provider Enumeration Date
04/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18701 N 67Th Ave # 85308
City
Glendale
State
Arizona
Zip
85308-7100
Phone Number
510-557-5627
Fax Number
person
Provider Business Mailing Address Details
Address
18701 N 67Th Ave # 85308
City
Glendale
State
Arizona
Zip
85308-7100
Phone Number
510-557-5627
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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