Individual
KRISTIAN TODD LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N. MARIO CAPECCHI DR., SALT LAKE CITY, UT 84112
(801) 581-2417
Mailing address
30 N. MARIO CAPECCHI DR., SALT LAKE CITY, UT 84112
(801) 581-2417
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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