Individual
EUGENE DOUGLAS LARSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
280 N HOSPITAL DR STE 4, PRICE, UT 84501
(435) 637-5690
(435) 637-9809
Mailing address
415 N 1095 W, PRICE, UT 84501-4243
(435) 637-5690
(435) 637-9809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9336977-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447513221
—
UT
Enumeration date
06/18/2012
Last updated
08/22/2018
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