Individual
DR. RYAN H LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
258 S MAIN ST STE 210, LOGAN, UT 84321-5768
(435) 383-6120
(435) 557-8003
Mailing address
258 S MAIN ST STE 210, LOGAN, UT 84321-5768
(435) 383-6120
(435) 557-8003
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
175141-1205
UT
Other
Enumeration date
10/04/2006
Last updated
09/27/2023
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