Brad Rodney Larsen is a Medical in Layton, Utah. Brad Rodney Larsen practices all healthcare services and medical treatments related to Medical. The NPI Number for Brad Rodney Larsen is 1063430890. The last update date is 2022-12-11.
Brad Rodney Larsen's current location address is 2950 N Church St, Layton, Utah. You can contact this provider via phone number 8017717700 and fax number 8015462422. The mailing address for Brad Rodney Larsen is 2950 N Church St, Layton, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Rodney Larsen |
|---|---|
| Address | 2950 N Church St, Layton, Utah |
| Phone Number | 8017717700 |
| Fax Number | 8015462422 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1063430890 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2022-12-11 |
Provider Mailing Address Detail
| Address | 2950 N Church St |
|---|---|
| City | Layton |
| State | Utah (UT) |
| Post Code | 840406504 |
| Phone Number | 8017717700 |
| Fax Number | 8015462422 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA0272 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Brad Rodney Larsen by the Centers for Medicare & Medicaid Services?
The Brad Rodney Larsen has been assigned the NPI (National Provider Identifier) 1063430890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Brad Rodney Larsen located?
The Brad Rodney Larsen is located at 2950 N Church St, Layton, UT 840406504.
What is the Brad Rodney Larsen's specialty and taxonomy code?
The Brad Rodney Larsen's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the Brad Rodney Larsen receive its 1063430890?
The Brad Rodney Larsen was issued its 1063430890 on 2006-07-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Brad Rodney Larsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brad Rodney Larsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-12-11.
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