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Michael Larsen
Magnetic Resonance Imaging Radiologic Technologist in San Diego, California
NPI 1134508039

Michael Larsen is a Magnetic Resonance Imaging Radiologic Technologist based in San Diego, CA and is specialized in Magnetic Resonance Imaging. Michael Larsen practices in San Diego, CA. The NPI Number for Michael Larsen is 1134508039 and holds a License No. RHT00045134 (California).

The current practice location address for Michael Larsen is 11019 Dove Tail Ter, San Diego, CA and can be reached out via phone at 858-231-6603.

Location: 11019 Dove Tail Ter, San Diego, CA, 92128-4019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134508039
Provider Name
Michael Larsen
Credential
Provider Entity Type
Individual
Gender
Male
Address
11019 Dove Tail Ter, San Diego, CA, 92128-4019
Phone Number
858-231-6603
Fax Number
Provider Enumeration Date
05/25/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
UNKNOWN 01 CA ALTOS GROUP
institution
Provider Business Practice Location Address Details
Address
11019 Dove Tail Ter
City
San Diego
State
California
Zip
92128-4019
Phone Number
858-231-6603
Fax Number
person
Provider Business Mailing Address Details
Address
11019 Dove Tail Ter
City
San Diego
State
California
Zip
92128-4019
Phone Number
858-231-6603
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Magnetic Resonance Imaging
Taxonomy
2471M1202X
License No.
RHT00045134 (California)
Definition
Definition to come...
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