Dr. Gary F Larsen , MD
Specialist • Sandy, UT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Larsen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gary Larsen, MD was a registered Specialist practicing in Sandy, UT. Throughout an active medical career spanning 16 years, Dr. Larsen provided care at the practice location at 7610 CABALLERO DR until profile deactivation on 2024-03-06.
Practice Location & Contact Primary Location
7610 Caballero Dr
Sandy, UT 840936238
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Sandy, UT
Practicing in Sandy, UT (427 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
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Record deactivated on March 06, 2024
NPI status registered as active in NPPES database
Registered at 7610 CABALLERO DR, SANDY, UT 840936238 (Tel: 8019433744)
Registered at 7610 CABALLERO DR, SANDY, UT 840936238 (Tel: 8019433744)
Recorded as GARY LARSEN, MD
Specialist (License #1493541205 in UT)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
7610 Caballero Dr
Sandy, UT 840936238
Phone: 8019433744
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