Individual
NICHOLAS JON LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
652 S MEDICAL CENTER DR STE 120, ST GEORGE, UT 84790-7077
(435) 251-3600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-3600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7913146-1205
UT
Other
Enumeration date
03/28/2008
Last updated
09/09/2021
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