CENTER FOR COLON AND RECTAL DISEASES PLC NPI 1124273032

NPI Information

CENTER FOR COLON AND RECTAL DISEASES PLC is a specialist in Mesa, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTER FOR COLON AND RECTAL DISEASES PLC NPI is 1124273032. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is David M Larson Md.

The provider's business location address is:

1500 S DOBSON RD
SUITE 313
MESA, AZ
ZIP 85202-713
Phone: (480) 964-0707
Fax: (480) 464-0588

The provider's authorized official is David Michael Larson .
The authorized official title is Owner and has the following contact phone number (480) 964-0707.

The enumeration date for this NPI number is 11/19/2008 and was last updated on 11/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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