Organization
LARRY A SARGENT, MD,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY A SARGENT (OWNER)
(801) 355-0731
Entity
Organization
Contact information
Practice address
370 NINTH AVE, SUITE 200, SALT LAKE CITY, UT 84103-2877
(801) 355-0731
(801) 322-1099
Mailing address
370 NINTH AVE, SUITE 200, SALT LAKE CITY, UT 84103-2877
(801) 355-0731
(801) 322-1099
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
9842767-1205
UT
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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