Individual provider · Type 1 NPI
Larry W. Kraiss, MD
Vascular Surgery Physician · Salt Lake City, UT
NPI number
1962592576
Active
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 413035
Salt Lake City, UT 84141-3035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 294502-1205 (UT) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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Other vascular surgery physician providers in Salt Lake City
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- Steven Charles Simper, MDVascular Surgery Physician Salt Lake City, UT NPI 1174617336
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About NPI 1962592576
Larry W. Kraiss, MD's National Provider Identifier is 1962592576, issued on Oct 13, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 17, 2021.