BENJAMIN G LAROSE

OGDEN, UT
NPI1568690188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  50479251204)
Enumeration Date2009-06-23
Last Update Date2010-02-01
Business Address
-- BENJAMIN G LAROSE D.O.
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403-3295
Phone number: 801-387-5300
Mailing Address
-- BENJAMIN G LAROSE D.O.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-5300
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