BRETT LARSEN, PA
Physician Assistant
Active
Individual
NPI: 1639367337
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 6704805-1206 (UT) |
Frequently Asked Questions
NPI 1639367337 is the National Provider Identifier for BRETT LARSEN, PA, a Physician Assistant provider located in Roosevelt, UT. This NPI was enumerated on October 9, 2007.
BRETT LARSEN, PA practices at 210 W 300 N, 75-3, Roosevelt, UT 84066.
Quick Facts
- NPI
- 1639367337
- Type
- Individual
- Enumerated
- Oct 9, 2007
- Last Updated
- Mar 13, 2008
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