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NPI Code Detail

MEDICARE: CAROLYN MARIE LARSEN MD

MEDICARE:   CAROLYN MARIE LARSEN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianTPME4874FL
2207R00000XInternal Medicine Physician54176MN
3207RC0000XCardiovascular Disease Physician53992AZ
4207RC0000XCardiovascular Disease Physician54176MN

General Provider Information

NPI Number : 1164743829
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN MARIE LARSEN MD
Provider Business Mailing Address
First Line : 13400 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-5452
Country : US
Telephone Number : 480-301-8000
Fax Number :
Provider Business Practice Location Address
First Line : 13400 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-5452
Country : US
Telephone Number : 480-301-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2010
Last Update Date : 12/10/2025

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Directions to “ CAROLYN MARIE LARSEN MD” Practice Location

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