Individual
SHEILA ADEL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1320 N MAIN ST STE 103, CEDAR CITY, UT 84721-1230
(435) 586-1276
(435) 586-1327
Mailing address
624 S 1000 E STE 103, ST GEORGE, UT 84790-5902
(435) 652-1135
(435) 652-1190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13287153-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205419884
—
UT
Enumeration date
05/03/2021
Last updated
05/21/2024
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