Organization
BUMALAFA
Active
Other names
Lifetime Family Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD BURKELY LARSEN DC (CHIROPRACTIC PHYSICIAN)
(801) 479-3200
Entity
Organization
Contact information
Practice address
5089 ADAMS AVE, OGDEN, UT 84403-4111
(801) 479-3200
(866) 479-1660
Mailing address
5089 ADAMS AVE, OGDEN, UT 84403-4111
(801) 479-3200
(866) 479-1660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7564602-1202
UT
Other
Enumeration date
01/06/2014
Last updated
10/22/2025
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