E. WAYNE LARSEN

BOUNTIFUL, UT
NPI1164450821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: UT  187423-1205)
Enumeration Date2006-06-29
Last Update Date2007-10-18
Business Address
-- E. WAYNE LARSEN M.D.
630 MEDICAL DR
BOUNTIFUL, UT 84010-4908
Phone number: 801-299-2160
Mailing Address
-- E. WAYNE LARSEN M.D.
630 MEDICAL DR
BOUNTIFUL, UT 84010-4908
Phone number: 801-299-2160