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Gordon L Larsen

• Male

Medical Specialty

• Emergency Medicine

Professional ID

• NPI: 1760479083
• PECOS ID: 5698673069
• Enrollment ID: I20031222000886
• Credential(MD, DO, DPM): MD
• Medical School: University Of Utah School Of Medicine
• Medical School Graduation Year: 1991

Hospital Service

• Hospital CCN1: 460021
• Business Name (LBN)1: Dixie Regional Medical Center

Medical Practices

• Organization Name: Ihc Health Services Inc
• Group Practice ID assigned by PECOS: 1850209420
• Number of Group Practice member: 2216

Location

• Address1: 1380 E Medical Ctr Dr
• Address2:
• City: Saint George
• State: Utah
• Zip Code: 84790
• Phone Number: (435)251-1000

Location

• Address1: 400 C St
• Address2:
• City: Salt Lake City
• State: Utah
• Zip Code: 84143
• Phone Number:

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
• Used Electronic health record (EHR):