Individual
DR. BARRY LARSON ACOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2992
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-2992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10698347-1205
UT
207Q00000X
Family Medicine Physician
54639
WI
207Q00000X
Family Medicine Physician
M11899
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54639
LICENSE
WI
Enumeration date
07/13/2010
Last updated
04/26/2018
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