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1174987374
BRIAN J LARSON
AMERICAN FORK, UT
NPI
1174987374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208M00000X Hospitalist
(Licence: UT 10490240-1205)
Enumeration Date
2016-04-13
Last Update Date
2019-09-05
Business Address
BRIAN J LARSON M.D.
170 N 1100 E
AMERICAN FORK, UT 84003-2096
Phone number: 801-357-8310
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Mailing Address
BRIAN J LARSON M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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