Gerald Burkely Larsen, DC | |
5319 Adams Ave Pkwy, Ste D, Ogden, UT 84405-4773 | |
(801) 479-3200 | |
Not Available |
Full Name | Gerald Burkely Larsen |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 14 Years |
Location | 5319 Adams Ave Pkwy, Ogden, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821314824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 7564602-1202 (Utah) | Primary |
Provider Name | Bumalafa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639590961 PECOS PAC ID: 4082927173 Enrollment ID: O20150819008254 |
Mailing Address | Practice Location Address |
---|---|
Gerald Burkely Larsen, DC Po Box 9641, Ogden, UT 84409-0641 Ph: (801) 479-3200 | Gerald Burkely Larsen, DC 5319 Adams Ave Pkwy, Ste D, Ogden, UT 84405-4773 Ph: (801) 479-3200 |
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