person
Mrs. Jamie P Larsen, PAC
Medical Physician Assistant in Mesa, Arizona
NPI 1659410983

Jamie P Larsen is a Medical Physician Assistant based in Owings Mills, AZ and is specialized in Medical. Jamie P Larsen practices in Mesa, AZ and has the professional credentials of PAC. The NPI Number for Jamie P Larsen is 1659410983 and holds a License No. 57597411206 (Arizona).

The current practice location address for Jamie P Larsen is 2530 E Southern Ave, Mesa, AZ and can be reached out via phone at 480-834-4188.

Location: 2530 E Southern Ave, Mesa, AZ, 21117-5437
person
Provider Profile Details
NPI Number
1659410983
Provider Name
Jamie P Larsen
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
2530 E Southern Ave, Mesa, AZ, 21117-5437
Phone Number
480-834-4188
Fax Number
Provider Enumeration Date
02/05/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
553068427005 05 UT
005752 05 AZ
institution
Provider Business Practice Location Address Details
Address
2530 E Southern Ave
City
State
Zip
85204-5411
Phone Number
480-834-4188
Fax Number
person
Provider Business Mailing Address Details
Address
2530 E Southern Ave
City
State
Zip
85204-5411
Phone Number
480-834-4188
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
57597411206 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
57597411206 (Utah)
Definition
Definition to come...
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