SearchArizona1223X0400X

Nathan Larson

NPI 1760757371 · on the registry since 2012 · sole proprietor

Practice

Address
1717 E Queen Creek Rd
Gilbert, AZ 85298
Phone
(623) 400-3234

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
122300000X
1223G0001X
Licence states on file
AZ, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona