Individual
MR. L. CRAIG LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5801 FASHION BLVD, # 120, MURRAY, UT 84107-6159
(801) 261-1391
(801) 261-1394
Mailing address
5801 FASHION BLVD, #120, MURRAY, UT 84107-6159
(801) 261-1391
(801) 261-1394
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
22-101477-0501
UT
Other
Enumeration date
03/16/2006
Last updated
07/13/2007
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