Larson, Shane R

Larson, Shane R is an sole proprietor health care provider with primary practice located at 1551 E Tangerine Rd , Oro Valley AZ 85755-6213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Larson, Shane R can be contacted via phone (520) 901-3500.

Contact Information

Primary practice address
1551 E Tangerine Rd Oro Valley AZ 85755-6213
Phone: (520) 901-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 342616-1205 Utah
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 77353 Arizona

Profile Details

NPI number 1528018496
LBN Legal business name Larson, Shane R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jun 16th, 2025 - about last year

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 1528018496 NPPES
Utah MEDICAID 870550181001

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