Dr David C Larson, MD | |
345 E Gateway Dr Ste 150, Heber City, UT 84032-4625 | |
(435) 657-0101 | |
(435) 315-3146 |
Full Name | Dr David C Larson |
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Gender | Male |
Speciality | Pediatrics |
Location | 345 E Gateway Dr Ste 150, Heber City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356324511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 363586-1205 (Utah) | Primary |
Entity Name | University Of Utah Community Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
Mailing Address | Practice Location Address |
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Dr David C Larson, MD 345 E Gateway Dr Ste 150, Heber City, UT 84032-4625 Ph: (435) 657-0101 | Dr David C Larson, MD 345 E Gateway Dr Ste 150, Heber City, UT 84032-4625 Ph: (435) 657-0101 |
Cady Mcanally, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 454 E Medical Way, Heber City, UT 84032 Phone: 435-654-2500 | |
Dr. Tyson Jensen Tidwell, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 454 E Medical Way, Heber City, UT 84032 Phone: 435-657-4400 | |
Kathryn M. Murray, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 380 E 1500 S, #201, Heber City, UT 84032 Phone: 435-657-0101 |