MEDICARE: DR. APRIL ALEXANDER LARSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	13163	NH
2	207N00000X	Dermatology Physician	13163	NH

General Provider Information

NPI Number	:	1659446946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. APRIL ALEXANDER LARSON M.D.

Provider Business Mailing Address
First Line	:	1068 E RIVERSIDE DR
Second Line	:
City	:	ST GEORGE
State	:	UT
Zip	:	84790-4477
Country	:	US
Telephone Number	:	435-628-6466
Fax Number	:	435-628-3845

Provider Business Practice Location Address
First Line	:	1068 E RIVERSIDE DR
Second Line	:
City	:	ST GEORGE
State	:	UT
Zip	:	84790-4477
Country	:	US
Telephone Number	:	435-628-6466
Fax Number	:	435-628-3845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	01/25/2023

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