Healthcare Provider Details

I. General information

NPI: 1659446946
Provider Name (Legal Business Name): APRIL ALEXANDER LARSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL ALEXANDER M.D.

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 E RIVERSIDE DR
ST GEORGE UT
84790-4477
US

IV. Provider business mailing address

1068 E RIVERSIDE DR
ST GEORGE UT
84790-4477
US

V. Phone/Fax

Practice location:
  • Phone: 435-628-6466
  • Fax: 435-628-3845
Mailing address:
  • Phone: 435-628-6466
  • Fax: 435-628-3845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number13163
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number13163
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: