NPI 1336343896
Ronald Axel Larsen, MD
Practice location
- Address
- 2006 E Gyrfalcon Dr, Sandy, UT 84092-4059
- Phone
- (571) 439-4551
- Mailing address
- 18767 Thomas Lee Way, Lansdowne, VA 20176-8225
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1336343896
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jun 2007
- Record last updated
- 14 Jul 2025
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.