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Contact Information

BRETT R LARSEN, MD
3903 HARRISON BLVD
100
OGDEN, UT84403-2361
 Phone: 801-387-7466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for BRETT R LARSEN · (Male)

NPI Number 1750744421
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2016
Last updated 08/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 12220359-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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