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1396733507
BRAD J LARSON
LOGAN, UT
NPI
1396733507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: UT 176320-1205)
Enumeration Date
2005-10-11
Last Update Date
2016-06-08
Business Address
-- BRAD J LARSON MD
2310 N 400 E STE A
LOGAN, UT 84341-1788
Phone number: 435-787-2000
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Mailing Address
-- BRAD J LARSON MD
2310 N 400 E STE A
LOGAN, UT 84341-1788
Phone number: 435-787-2000
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