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Matthew Larson
NPI 1710243795 · on the registry since 2012
Practice
- Address
- 390 East 100 South
Ephraim, UT 84627 - Phone
- (435) 851-6709
- Organisation at this address
- Lighthouse Ranch Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah