Larsen, Stephen

Larsen, Stephen is an individual health care provider with primary practice located at 13555 W Mcdowell Rd 302, Goodyear AZ 85395-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Larsen, Stephen can be contacted via phone (623) 512-4390.

Contact Information

Primary practice address
13555 W Mcdowell Rd 302 Goodyear AZ 85395-2624
Phone: (623) 512-4390
Fax: (623) 512-4391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 125-056789 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 50775 Arizona

Profile Details

NPI number 1215165584
LBN Legal business name Larsen, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jan 18th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215165584 NPPES
Arizona MEDICAID 053337

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