Jason Jerry Larson in Roosevelt - Emergency Medicine
Jason Jerry Larson - NPI 1710941240
Jason Jerry Larson is a Emergency Medicine in Roosevelt, Utah. Jason Jerry Larson practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Jason Jerry Larson is 1710941240. The last update date is 2017-06-14.
Jason Jerry Larson's current location address is 250 W 300 N, Roosevelt, Utah. You can contact this provider via phone number 4357226163 and fax number 4357229291. The mailing address for Jason Jerry Larson is 250 W 300 N, Roosevelt, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Jerry Larson |
|---|---|
| Address | 250 W 300 N, Roosevelt, Utah |
| Phone Number | 4357226163 |
| Fax Number | 4357229291 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710941240 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2017-06-14 |
Provider Mailing Address Detail
| Address | 250 W 300 N |
|---|---|
| City | Roosevelt |
| State | Utah (UT) |
| Post Code | 840662336 |
| Phone Number | 4357226163 |
| Fax Number | 4357229291 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 5342849-1205 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D5134 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jason Jerry Larson by the Centers for Medicare & Medicaid Services?
The Jason Jerry Larson has been issued the NPI (National Provider Identifier) 1710941240 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jason Jerry Larson's facilities are situated?
The facilities of Jason Jerry Larson are physically located at the following address: 250 W 300 N, Roosevelt, UT, 840662336.
What is Jason Jerry Larson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason Jerry Larson is Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 207P00000X.
On what date did Jason Jerry Larson receive its 1710941240 assignment from the Centers for Medicare & Medicaid Services?
The Jason Jerry Larson was assigned its 1710941240 on 2006-04-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jason Jerry Larson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason Jerry Larson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-06-14.