Individual
GERALD BURKELY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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
04/15/2010
Last updated
10/22/2025
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