Larson, Dallen J

Larson, Dallen J is an individual health care provider with primary practice located at 4650 Harrison Blvd , Ogden UT 84403-4303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Larson, Dallen J can be contacted via phone (801) 475-3021.

Contact Information

Primary practice address
4650 Harrison Blvd Ogden UT 84403-4303
Phone: (801) 475-3021
Fax: (801) 475-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3322321206 Utah

Profile Details

NPI number 1609865203
LBN Legal business name Larson, Dallen J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jan 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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