Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN ZACHARY LARSEN, MD
ActiveBENJAMIN ZACHARY LARSEN, MD is a General Practice healthcare provider located in OGDEN, Utah. NPI 1124519657 is currently active in the NPPES registry. Verify at CMS.
General Practice · OGDEN, UT
Registration Details
- NPI Number
- 1124519657
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2018 (8.20882179673 yrs)
- Last Updated
- Jun 2, 2021
- Licenses
-
11401709-1205 (UT)11401709-1205 (UT)
Practice Information
- Address
-
4403 HARRISON BLVD STE 700AOGDEN, UT, 844033295Browse UT providers · Browse ZIP 84403
- Phone
- 8013875300
- Fax
- 8013875333
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
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.