| L Craig Larsen Dpm Pc | |
|
5801 Fashion Blvd, # 120, Murray, UT 84107-6159 | |
| (801) 261-1391 | |
| (801) 261-1394 |
| Full Name | L Craig Larsen Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 5801 Fashion Blvd, Murray, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134188394 | NPI | - | NPPES |
| 529501253006 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 101447-0501 (Utah) | Primary |
| Provider Name | Clark C Larsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427130335 PECOS PAC ID: 4789786104 Enrollment ID: I20070304000000 |
| Provider Name | Clint Larsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861656332 PECOS PAC ID: 8921283177 Enrollment ID: I20110503000409 |
| Provider Name | Daniel D Hansen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316325590 PECOS PAC ID: 1759639446 Enrollment ID: I20180813003065 |
| Mailing Address | Practice Location Address |
|---|---|
| L Craig Larsen Dpm Pc 5801 Fashion Blvd, # 120, Murray, UT 84107-6159 Ph: (801) 261-1391 | L Craig Larsen Dpm Pc 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 | |
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 |