Clark C Larsen is a Podiatrist in Murray, Utah. Clark C Larsen practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Clark C Larsen is 1427130335. The last update date is 2007-07-13.
Clark C Larsen's current location address is 5801 Fashion Blvd, Murray, Utah. You can contact this provider via phone number 8012611391 and fax number 8012611394. The mailing address for Clark C Larsen is 5801 Fashion Blvd, Murray, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark C Larsen |
|---|---|
| Address | 5801 Fashion Blvd, Murray, Utah |
| Phone Number | 8012611391 |
| Fax Number | 8012611394 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1427130335 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 5801 Fashion Blvd |
|---|---|
| City | Murray |
| State | Utah (UT) |
| Post Code | 841076159 |
| Phone Number | 8012611391 |
| Fax Number | 8012611394 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 5750318-0501 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique 10-digit identifier code issued to Clark C Larsen by the Centers for Medicare & Medicaid Services?
The Clark C Larsen has been assigned the NPI (National Provider Identifier) 1427130335 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Clark C Larsen?
The Clark C Larsen is situated at 5801 Fashion Blvd, in the city of Murray, state of UT, with the zip code 841076159.
What is the Clark C Larsen's specialty and taxonomy code?
The Clark C Larsen's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date was the 1427130335 assigned to Clark C Larsen?
The Clark C Larsen was issued its 1427130335 on 2006-10-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Clark C Larsen's details last updated?
The information pertaining to the Clark C Larsen, including its address, specialty, and other details, was most recently updated on 2007-07-13.