Organization
HEBER VALLEY PEDIATRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C LARSON (OWNER)
(435) 657-0101
Entity
Organization
Contact information
Practice address
380 E 1500 S, SUITE # 201, HEBER CITY, UT 84032-3940
(435) 657-0101
(435) 657-1096
Mailing address
380 E 1500 S, SUITE # 201, HEBER CITY, UT 84032-3940
(435) 657-0101
(435) 657-1096
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
363586-1205
UT
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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