NPI 1124519657

Benjamin Zachary Larsen, MD

Practitioner General Practice Physician Ogden, UT

Practice location

Address: 4403 Harrison Blvd STE 700a, Ogden, UT 84403-3295
Phone: (801) 387-5300
Fax: (801) 387-5333

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 11401709-1205 (UT)

Other General Practice providers in Utah →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 11401709-1205 (UT)

Other Family Medicine providers in Utah →

Registry record

NPI: 1124519657
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2018
Record last updated: 2 Jun 2021

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.