Individual
RYAN SCOTT LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4403 HARRISON BLVD STE 3630, OGDEN, UT 84403-3287
(801) 387-7900
Mailing address
2232 N 2100 E, LAYTON, UT 84040-8081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8867542-4405
UT
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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