Individual
CLINT LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5801 S FASHION BLVD, STE 120, MURRAY, UT 84107-8115
(801) 261-1391
Mailing address
837 E. CEDAR ST, SUITE 100, SOUTH BEND, IN 46617
(574) 237-7338
(574) 237-7881
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
41000220
IN
Other
Enumeration date
07/15/2008
Last updated
01/11/2016
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