MICHAEL LARSON

Case Manager/Care Coordinator

Active Individual
NPI: 1104455294

Practice Address

735 S 200 W STE 1
Blanding, UT 84511

Phone: (435) 678-2992

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1104455294 is the National Provider Identifier for MICHAEL LARSON, a Case Manager/Care Coordinator provider located in Blanding, UT. This NPI was enumerated on April 2, 2020.
MICHAEL LARSON practices at 735 S 200 W STE 1, Blanding, UT 84511.

Quick Facts

NPI
1104455294
Type
Individual
Enumerated
Apr 2, 2020
Last Updated
Apr 8, 2020

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