Individual
AMANDA ANN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5171 S COTTONWOOD ST STE 810, MURRAY, UT 84107-5705
(801) 507-9800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12401792-1205
UT
Other
Enumeration date
03/27/2020
Last updated
11/26/2025
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