Individual
LARISA B. YAROSHCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9400
Mailing address
PO BOX 510004, SALT LAKE CITY, UT 84151-0004
(801) 213-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5316510-1205
UT
Other
Enumeration date
10/13/2006
Last updated
12/20/2021
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