Ethan Larsen
Sports Medicine Doctor
1055 N 300 W Ste 410
Provo
, Utah 84604-3354
Ethan Larsen
Sports Medicine Doctor
1055 N 300 W Ste 410
Provo
, Utah 84604-3354
(515) 421-6223
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Ethan Larsen
- 273 W 590 N
- Vineyard, UT
- Zip : 84059-4812
- Phone : (515) 421-6223
Second Address
- Ethan Larsen
- 1055 N 300 W Ste 410
- Provo, UT
- Zip : 84604-3354
- Phone : (515) 421-6223
Reviews
FAQs
Where did Ethan Larsen attend graduate school?
Where did Ethan Larsen do his residency?
Where did Ethan Larsen do his fellowship?
Is Ethan Larsen board certified?
What type of doctor is Ethan Larsen
In what state does Ethan Larsen practice in?
Where is Ethan Larsen ’s practice located?
What is Ethan Larsen ’s gender?
Is Ethan Larsen a sole practitioner?
Is Ethan Larsen accepting new patients?
What languages does Ethan Larsen speak?
Does Ethan Larsen accept insurance?
Does Ethan Larsen offers telemedicine?
What is Ethan Larsen ’s professional license number?
What is Ethan Larsen ’s NPI number?
Does Ethan Larsen have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 12298266-4810 | UT |
National Provider Identifier
| NPI | 1295319804 |
|---|---|
| Provider Name | Ethan Larsen |
| First Address | Vineyard, UT 84059-4812 |
| Second Address | Provo, UT 84604-3354 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2021 |
| Last Update Date | 10/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.