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Organization

STEP MOUNTAIN MEDICAL

Active
Other names
Step Mountain Medical
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. KIRT WEBB LARSON MSN, FNP-C (OWNER)
(801) 446-2460
Entity
Organization

Contact information

Practice address
2332 W 12600 S STE 2C, RIVERTON, UT 84065-7173
(801) 446-2760
Mailing address
2332 SOUTH 12600 SOUTH SUITE 2C, RIVERTON, UT 84065-7173
(801) 446-2760

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2114514405
UT

Other

Enumeration date
08/07/2014
Last updated
08/07/2014
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