Larry Glen Andrew, D.O.

NPI #1104996610 in Provo, Utah

Provider Information

NPI Number: 1104996610
Entity Type: Individual
Name: Larry Glen Andrew, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Nov 9, 2006
Last Updated: Jul 3, 2013

Practice Location

Address: 746 E 1910 S STE 1
City: Provo
State: Utah
ZIP Code: 84606-6227
Phone: (801) 377-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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