SHAUN D LARSEN OD

Dr SHAUN D LARSEN OD is a male medical professional, specializing in Optometry. He graduated in 1999 from Southern College Of Optometry.

Contact

3665 S 8400
SUITE 100
MAGNA
UT
840444907

Tel:

SHAUN D LARSEN OD Information

Npi 1073540167
Pac Id 8426953639
Professional Enrollment Id I20031201000806
Last Name LARSEN
First Name SHAUN
Middle Name D
Suffix
Gender M
Credential OD
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1999
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3665 S 8400
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City MAGNA
State UT
Zip Code 840444907
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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