Organization
PETER G. LARCOM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE FRISCHKNECHT (OFFICE MANAGER)
(801) 747-1020
Entity
Organization
Contact information
Practice address
5323 SOUTH WOODROW STREET SUITE 200, MURRAY, UT 84107
(801) 747-1020
(801) 747-1023
Mailing address
5323 SOUTH WOODROW STREET SUITE 200, MURRAY, UT 84107
(801) 747-1020
(801) 747-1023
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
321930-1205
UT
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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