| Doctor Name: | DR. MICHELLE R LARSEN |
| NPI Number: | 1437581121 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.V.M. |
| License Number: | 6166 |
| Business Practice Address: | 14429 S 41st Pl Phoenix, AZ - 850446147 |
| Business Phone Number: | 7032810765 |
| Business Fax Number: | |
| Mailing Address: | 14429 S 41st Pl, PHOENIX |
| State: | AZ |
| Postal Code: | 850446147 |
| Phone Number: | 7032810765 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2013 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | 6166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |