Michael Larson

NPI #1104455294 in Blanding, Utah

Provider Information

NPI Number
1104455294
Entity Type
Individual
Name
Michael Larson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 2, 2020
Last Updated
Apr 8, 2020

Practice Location

Address
735 S 200 W STE 1
State
Utah
ZIP Code
84511-3923
Phone
(435) 678-2992

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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