Dr Spencer Larson, DO | |
2376 N 400 E Ste 102, Tooele, UT 84074-3413 | |
(435) 843-1225 | |
(435) 843-1228 |
Full Name | Dr Spencer Larson |
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Gender | Male |
Speciality | Family Medicine |
Location | 2376 N 400 E Ste 102, Tooele, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790300143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13185617-1204 (Utah) | Primary |
Entity Name | Valley Family Medicine Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033412481 PECOS PAC ID: 2062505852 Enrollment ID: O20110121000745 |
Mailing Address | Practice Location Address |
---|---|
Dr Spencer Larson, DO 267 E Ventura Blvd, Stansbury Park, UT 84074-9327 Ph: (801) 854-8629 | Dr Spencer Larson, DO 2376 N 400 E Ste 102, Tooele, UT 84074-3413 Ph: (435) 843-1225 |
Blake Richard Beazer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E, Ste 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 | |
Dr. Carolyn Forbes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E, Ste 102, Tooele, UT 84074 Phone: 435-843-1225 Fax: 435-843-1228 | |
Dr. An Tuong Dinh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Millpond, Tooele, UT 84074 Phone: 435-843-3647 Fax: 435-775-9272 | |
Dr. Patrick Nelson Green, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 W 1180 N, Suite # 5, Tooele, UT 84074 Phone: 435-248-0333 Fax: 435-248-0334 | |
Sergio Abarca, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E, Ste 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 | |
Dr. Jay Myron Spector, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1929 Aaron Dr, Suite I, Tooele, UT 84074 Phone: 435-833-0229 Fax: 435-833-0231 | |
Nicole Patrone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 58 S Main St, Tooele, UT 84074 Phone: 435-233-7900 |