Individual
MICHAEL LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 851-2121
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.073601
IL
207L00000X
Anesthesiology Physician
Primary
13366194-1205
UT
Other
Enumeration date
03/27/2019
Last updated
01/27/2026
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