Individual
PETER G LARCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5316 S WOODROW ST STE 200, MURRAY, UT 84107-5838
(801) 747-1020
(801) 747-1023
Mailing address
5316 S WOODROW ST STE 200, MURRAY, UT 84107-5838
(801) 747-1020
(801) 747-1023
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
321930-1205
UT
Other
Enumeration date
07/06/2006
Last updated
01/03/2019
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