WADE B LARSEN

LAYTON, UT
NPI1326024191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: UT  52642531205)
Enumeration Date2005-12-22
Last Update Date2012-07-23
Business Address
WADE B LARSEN MD
2121 N 1700 W
LAYTON, UT 84041-8803
Phone number: 801-773-4840
Mailing Address
WADE B LARSEN MD
PO BOX 337
LAYTON, UT 84041-0337
Phone number: 801-773-4840