Clark C Larsen, DPM | |
5801 Fashion Blvd, #120, Murray, UT 84107-6159 | |
(801) 261-1391 | |
(801) 261-1394 |
Full Name | Clark C Larsen |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 19 Years |
Location | 5801 Fashion Blvd, Murray, 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 |
---|---|---|---|
1427130335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 5750318-0501 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Symbii Home Health South | West valley city, UT | Home health agency |
Intermountain Medical Center | Murray, UT | Hospital |
St Mark's Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
L Craig Larsen Dpm Pc | 1951301589 | 2 |
Confederated Tribes Of The Goshute Reservation | 0042451650 | 43 |
Provider Name | L Craig Larsen Dpm Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134188394 PECOS PAC ID: 1951301589 Enrollment ID: O20070222000754 |
Mailing Address | Practice Location Address |
---|---|
Clark C Larsen, DPM 5801 Fashion Blvd, #120, Murray, UT 84107-6159 Ph: (801) 261-1391 | Clark C Larsen, DPM 5801 Fashion Blvd, #120, Murray, UT 84107-6159 Ph: (801) 261-1391 |
Stanton Miller Smith, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 168 E 5900 S # 102, Murray, UT 84107 Phone: 801-441-2719 Fax: 801-327-2304 | |
L Craig Larsen Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 5801 Fashion Blvd, # 120, Murray, UT 84107 Phone: 801-261-1391 Fax: 801-261-1394 | |
Dr. Richard Luke Jones, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Christian Smith, Podiatrist Medicare: Medicare Enrolled Practice Location: 5169 S Cottonwood St Ste 303, Murray, UT 84107 Phone: 800-548-6672 | |
Mr. L. Craig Larsen, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5801 Fashion Blvd, # 120, Murray, UT 84107 Phone: 801-261-1391 Fax: 801-261-1394 | |
Dr. Thomas Vance Eddy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5801 S Fashion Blvd Ste 120, Murray, UT 84107 Phone: 801-261-1391 |