Wade B Larsen, MD

NPI #1326024191 in Layton, Utah

Provider Information

NPI Number: 1326024191
Entity Type: Individual
Name: Wade B Larsen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Dec 22, 2005
Last Updated: Jul 23, 2012

Practice Location

Address: 2121 N 1700 W
City: Layton
State: Utah
ZIP Code: 84041-8803
Phone: (801) 773-4840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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