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NPI Verification

National Provider Identifier: 1104996610

Larry Glen Andrew, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

746 E 1910 S STE 1

PROVO, UT 846066227

Phone: 801-377-0580

NPI Enumeration Date

November 9, 2006

NPI Number

1104996610

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry