JEREMY LARSON NPI 1003144510

NPI Information

Jeremy Larson is a technician other in St George, UT. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Jeremy Larson NPI is 1003144510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

960 N DIXIE DOWNS RD
ST GEORGE, UT
ZIP 84770-206
Phone: (435) 628-0612

The enumeration date for this NPI number is 11/20/2009 and was last updated on 11/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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