NPI 1003144510

Jeremy Larson

Practitioner Other Technician St George, UT

Practice location

Address: 960 N Dixie Downs Rd, St George, UT 84770-4206
Phone: (435) 628-0612
Mailing address: 361 E 400 S #8, St George, UT 84770-3626

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Utah →

Registry record

NPI: 1003144510
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2009
Record last updated: 20 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.