| Doctor Name: | MR. DOUGLAS FRANK LARSON |
| NPI Number: | 1003028317 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 733042-0700 |
| Business Practice Address: | 1501 N Campbell Ave Suite 4402 Arizona Health Science Center Tucson, AZ - 857240001 |
| Business Phone Number: | 5206266339 |
| Business Fax Number: | |
| Mailing Address: | 4402 Ahsc, 1501 N. Campbell Ave TUCSON |
| State: | AZ |
| Postal Code: | 857240001 |
| Phone Number: | 5206266339 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 242T00000X |
| License Number: | 733042-0700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Perfusionist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |