Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Wilson Larsen, MD

Individual provider Pediatrics Physician · NPI 1558115139

Madison Wilson Larsen, MD is a Pediatrics Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

295 S Chipeta Way Rm 2S010
Salt Lake City, UT 84108-1287
Phone: (801) 581-2121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 14244324-1205 (UT)

Record details

NPI number1558115139
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2024
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

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