Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dallen J Larson, PA-C

Individual provider Physician Assistant · NPI 1609865203

Dallen J Larson, PA-C is a Physician Assistant in Ogden, Utah. Qualified in 1995, 31 years ago. Practices with Ogden Clinic PC, a 106-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
31
Licensed in
UT
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4650 Harrison Blvd
Ogden, UT 84403-4303
Phone: (801) 475-3021
Fax: (801) 475-3031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3322321206 (UT)

Record details

NPI number1609865203
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2005
Last updated in NPPESJanuary 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Ogden Clinic Pc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Ogden