Larsen, Bryan R.
Larsen, Bryan R. is an individual health care provider with primary practice located at 630 E 1400 N Suite 100B, Logan UT 84341-2534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Larsen, Bryan R. can be contacted via phone (435) 787-0270.Contact Information
Primary practice address
630 E 1400 N Suite 100B
Logan UT 84341-2534
Phone: (435) 787-0270
Fax: (435) 787-0262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 174573-1205 | Utah |
Profile Details
| NPI number | 1972561165 |
|---|---|
| LBN Legal business name | Larsen, Bryan R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Sep 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972561165 | NPPES |
| Idaho | MEDICAID | 003794300 |
Popular Providers
-
Garg, Vikram
1300 N 500 E Ste 340 , Logan UT 84341-2470 -
Berger, Jeffrey N
1 Dakota Dr Suite 310, New Hyde Park NY 11042-1119 -
Doman, David B
12012 Veirs Mill Rd , Wheaton MD 20906-4513 -
Gregory, David Max
3435 Nw 56Th St Ste 314, Oklahoma City OK 73112-4414 -
Jacobson, Dan G.
2960 Ne Heather Ct , Jensen Beach FL 34957-5066 -
Karagiannis, John P.
303 S Nappanee St , Elkhart IN 46514-2066 -
Mathis, John Glenn
17501 Generations Dr , South Bend IN 46635-1589 -
Stelzer, Frederic A
1501 N Cedar Crest Blvd Suite 110, Allentown PA 18104-2309