DALLEN J LARSON

OGDEN, UT
NPI1609865203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  3322321206)
Enumeration Date2005-10-17
Last Update Date2017-01-17
Business Address
-- DALLEN J LARSON PA-C
4650 HARRISON BLVD
OGDEN, UT 84403-4303
Phone number: 801-475-3021
Mailing Address
-- DALLEN J LARSON PA-C
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3021
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