Larson, Gregory Allen

Larson, Gregory Allen is an individual health care provider with primary practice located at 1233 N Main St Ste 1A, San Luis AZ 85349. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Larson, Gregory Allen can be contacted via phone (928) 550-5514.

Contact Information

Primary practice address
1233 N Main St Ste 1A San Luis AZ 85349
Phone: (928) 550-5514
Fax: (928) 722-6113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2973 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2705 Arizona

Profile Details

NPI number 1578536892
LBN Legal business name Larson, Gregory Allen
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 1st, 2019 - 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.

Request for update

Popular Providers