DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY GLEN ANDREW, D.O.

Active Sole Proprietor

LARRY GLEN ANDREW, D.O. is a Family Medicine healthcare provider located in PROVO, Utah. NPI 1104996610 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PROVO, UT

Registration Details

NPI Number
1104996610
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2006 (19.716715532411 yrs)
Last Updated
Jul 3, 2013
License
326767-1204 (UT)
Sole Proprietor
Yes

Practice Information

Address
746 E 1910 S STE 1
PROVO, UT, 846066227
Browse UT providers · Browse ZIP 84606
Phone
8013770580
Fax
8013755582
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PROVO, UT

Name Credential NPI
DR. STEVEN W BLOINK MD 1891787891
ANDREW D PETERSEN DO 1124011572
DR. DENNIS C HESS M.D. 1326035080
DR. RICHARD J HOLMES M.D. 1083601942
DR. JAMES A WOODMANSEE III M.D. 1093703530
WESLEY D WYLIE M.D. 1548215197
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.