IndividualActive
Brad Larson, MD
NPI 1396733507 · Orthopaedic Surgery Physician · Logan, UT
Provider details
- NPI number
- 1396733507
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 176320-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2310 N 400 E
Ste a
Logan, UT 84341-1788
Phone: (435) 787-2000
Fax: (435) 787-1913
Approximate (ZIP-level) locationGet directions
Mailing address
2310 N 400 E
Logan, UT 84341-1788
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2016-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.