Martin Gordon Larsen, DO | |
1380 E Medical Center Dr, St George, UT 84790-2123 | |
(435) 251-1000 | |
Not Available |
Full Name | Martin Gordon Larsen |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1380 E Medical Center Dr, St George, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043897259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 13509554-1204 (Utah) | Primary |
207P00000X | Emergency Medicine | DO3491 (Nevada) | Secondary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Kane County Human Resource Special Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043380991 PECOS PAC ID: 5092603316 Enrollment ID: O20040309000209 |
Entity Name | Kane County Human Resource Special Service District |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1215001037 PECOS PAC ID: 5092603316 Enrollment ID: O20090727000130 |
Entity Name | West Emergency Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548929565 PECOS PAC ID: 1850785296 Enrollment ID: O20220228002097 |
Mailing Address | Practice Location Address |
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Martin Gordon Larsen, DO 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: () - | Martin Gordon Larsen, DO 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: (435) 251-1000 |
Brett David Christiansen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 Fax: 435-688-5514 | |
Evan Nelson Strobelt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 | |
Dr. Robert D Owen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 Fax: 435-688-4002 | |
Richard A. Sorensen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1002 | |
Dr. Kevin Val Jensen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 321 N Mall Dr Ste J201, St George, UT 84790 Phone: 435-986-9483 Fax: 435-674-2997 | |
Nathan Laurel Holman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-688-6388 |