LARRY CHARLES STEVENS, PH.D., P.C.
Medical Practice at Beaver St, Flagstaff, AZ

License number
Arizona 1177
Category
Social Work
Type
Health
Owner
Name: DR. LARRY CHARLES STEVENS PH.D.
Title: PRESIDENT
Phone: (928) 779-3783
Address
Address
711 N Beaver St, Flagstaff, AZ 86001
National Provider ID: 1417197666
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LARRY CHARLES STEVENS, PHD, PC

5885 Herring Rd, Flagstaff, AZ 86004

Industry:
Health Practitioner's Office
Doing business as:
Larry Charles Stevens, PH.D., PC
Registration:
Apr 11, 1991
State ID:
-0232002-4
Expiration:
PERPETUAL
President:
Larry C Stevens (President), 5885 Herring Rd, Flagstaff, AZ 86004 (Physical)

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