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Individual

DR. DAVID C LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
999 MURRAY HOLLADAY RD, SUITE 207, SALT LAKE CITY, UT 84117-4901
(801) 268-2584
(801) 262-1168
Mailing address
999 MURRAY HOLLADAY RD, SUITE 207, SALT LAKE CITY, UT 84117-4901
(801) 268-2584
(801) 262-1168

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30852741205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870573947004
UT
Enumeration date
02/22/2006
Last updated
05/10/2011
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