Individual
DR. CHRISTOPHER DAVID DAVIS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 893-2133
Mailing address
5256 S TAVISTOCK AVE, MERIDIAN, ID 83642-5192
(801) 380-8709
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12385608-1204
UT
207L00000X
Anesthesiology Physician
Q7573
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2012
Last updated
07/19/2021
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