Individual
MS. LARISSA BEYERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
295 CHIPETA WAY, DEPARTMENT OF PEDIATRIC EMERGENCY MEDICINE, SALT LAKE CITY, UT 84158
(801) 587-7436
(801) 587-7455
Mailing address
295 CHIPETA WAY, SUITE 200, PEDIATRIC EMERGENCY MEDICINE, SALT LAKE CITY, UT 84158
(801) 587-7436
(801) 587-7455
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
8637381-1205
UT
Other
Enumeration date
07/28/2010
Last updated
12/16/2025
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