| Clint Larsen, DPM | |
|
5801 S Fashion Blvd, Ste 120, Murray, UT 84107-8115 | |
| (801) 261-1391 | |
| Not Available |
| Full Name | Clint Larsen |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 16 Years |
| Location | 5801 S 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 |
|---|---|---|---|
| 1861656332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 41000220 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Homecare Home Health Salt Lake | South jordan, UT | Home health agency |
| Intermountain Medical Center | Murray, UT | Hospital |
| Alta View Hospital | Sandy, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| 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 |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Clint Larsen, DPM 837 E. Cedar St, Suite 100, South Bend, IN 46617 Ph: (574) 237-7338 | Clint Larsen, DPM 5801 S Fashion Blvd, Ste 120, Murray, UT 84107-8115 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 | |
Clark C Larsen, DPM Podiatrist Medicare: Accepting Medicare Assignments 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 |