Individual
RONALD AXEL LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 E GYRFALCON DR, SANDY, UT 84092-4059
(571) 439-4551
Mailing address
18767 THOMAS LEE WAY, LANSDOWNE, VA 20176-8225
(571) 333-2270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
162106-1205
UT
Other
Enumeration date
06/11/2007
Last updated
07/14/2025
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