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Contact Information

PAUL W LARSON, MD
2603 S 4TH AVE
YUMA, AZ85364
 Phone: 928-726-8346
 Fax: 888-418-8515
 Website: https://www.veincenterofarizona.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebology

202K00000X
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PAUL W LARSON · (Male)

NPI # 1598999609
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2009
Last updated 09/27/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 00774
  • AZ License # 41014
Hospital affiliation(s)
  • YUMA REGIONAL MEDICAL CENTER - (Acute Care)
    2400 SOUTH AVENUE A
    YUMA, AZ 85364
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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