Individual
DR. SHAUN DEAN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3665 S 8400 W, SUITE 100, MAGNA, UT 84044-2214
(801) 250-5745
(801) 250-5981
Mailing address
3665 S 8400 W, SUITE 100, MAGNA, UT 84044-2214
(801) 250-5745
(801) 250-5981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3758049934
UT
Other
Enumeration date
06/26/2006
Last updated
08/24/2010
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