Individual
DR. CHARI D. LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
PO BOX 581100, SALT LAKE CITY, UT 84158-1100
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8437490-1205
UT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
8437490-1205
UT
Other
Enumeration date
03/20/2011
Last updated
12/20/2021
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