Dr CLARK C LARSEN DPM is a male medical professional, specializing in Podiatry. He graduated in 2006.
L CRAIG LARSEN DPM PC
5801 S FASHION BLVD
SUITE 120
SALT LAKE CITY
UT
841078115
Tel: 8012611391
| Npi | 1427130335 |
| Pac Id | 4789786104 |
| Professional Enrollment Id | I20070304000000 |
| Last Name | LARSEN |
| First Name | CLARK |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | DPM |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | L CRAIG LARSEN DPM PC |
| Group Practice Pac Id | 1951301589 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 5801 S FASHION BLVD |
| Line 2 Street Address | SUITE 120 |
| Marker Of Address Line 2 Suppression | |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 841078115 |
| Phone Number | 8012611391 |
| Hospital Affiliation Ccn 1 | 460010 |
| Hospital Affiliation Lbn 1 | INTERMOUNTAIN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 460060 |
| Hospital Affiliation Lbn 2 | LONE PEAK HOSPITAL |
| 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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