| Brent Larsen, MD | |
|
3460 Pioneer Pkwy, West Valley City, UT 84120-2049 | |
| (801) 964-3100 | |
| Not Available |
| Full Name | Brent Larsen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3460 Pioneer Pkwy, West Valley City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285695262 | NPI | - | NPPES |
| D3327 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 372928-1205 (Utah) | Secondary |
| 207P00000X | Emergency Medicine | 372928-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Larsen, MD 144 S 500 E, 2nd Floor, Salt Lake City, UT 84102-1907 Ph: () - | Brent Larsen, MD 3460 Pioneer Pkwy, West Valley City, UT 84120-2049 Ph: (801) 964-3100 |
Quinn Weber, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Michelle Dieter, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
Sharon Kolber, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Trenten Don Thorn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Dick Creager, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Chad Nicholls, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 |