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Contact Information

LARRE D EGBERT, MD
1000 E 100 N
PAYSON, UT84651-1600
 Phone: 801-465-7190
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LARRE D EGBERT · (Male)

NPI Number 1366436768
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2005
Last updated 10/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 178379-1205
  • UT Medicaid 09220
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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