IndividualActive
Ethan Larson, MD
NPI 1871741124 · Plastic Surgery Physician · Tucson, AZ
Provider details
- NPI number
- 1871741124
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 42811 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7005 N Oracle Rd
Tucson, AZ 85704-4329
Phone: (520) 771-0177
Approximate (ZIP-level) locationGet directions
Mailing address
7005 N Oracle Rd
Tucson, AZ 85704-4329
Additional practice locations (1)
- 1501 N Campbell Ave Rm 5334Box 245062Tucson, AZ 85724-5062Phone: (520) 626-6264Fax: (520) 626-3330
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2021-04-08
- Certified
- 2021-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.