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DR. LARRY T WILCKEN MD
NPI 1790817013
Family Medicine in Vernal, UT

Active since March 12, 2007

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry T Wilcken Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY T WILCKEN MD (NPI 1790817013) is an individual family medicine provider in Vernal, Utah, licensed in Utah (158064-1205) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1790817013
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LARRY T WILCKENCredential: MD
Location Address151 W 200 NVernal, UT 84078-1907
Mailing Address3618 Dry Fork Canyon RdVernal, UT 84078-9404
Phone(435) 789-3342
Sole ProprietorNo
Enumeration DateMarch 12, 2007
Last NPPES UpdateMarch 16, 2010
✔ NPI 1790817013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 158064-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
151 W 200 N, Vernal, UT 84078
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Other Identifiers 8

Medicare ID-Type Unspecified000012408UT · 151 W 200 N, Vernal
Medicare OSCAR/certification320057NM
Medicare PINHSZ216UT
MedicaidH1232NM
Medicare PINH52178NM
Medicare PINHSZ230UT
Medicare UPIND07808UT
Medicaid05135UT

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOYCE F BUHLER RD CD CDE
Dietitian, Registered
151 W 200 N
VERNAL, UT 84078
Uintah County (435) 789-3342
DEAN G ANDERSON M.D.
Emergency Medicine
151 W 200 N, ASHLEY REGIONAL MEDICAL CENTER
VERNAL, UT 84078
Uintah County (435) 789-3342
HILARY J. SARHATT DO
Family Medicine
151 W 200 N
VERNAL, UT 84078
Uintah County (435) 789-3342
SHANE VERL THEOBALD CRNA
Nurse Anesthetist, Certified Registered
151 W 200 N
VERNAL, UT 84078
Uintah County (435) 781-1519
BASIN ANESTHESIA ASSOCIATES, INC.
Nurse Anesthetist, Certified Registered
151 W 200 N
VERNAL, UT 84078
Uintah County (435) 789-3342
MR. MICHAEL ARTHUR HARTMAN
Nurse Anesthetist, Certified Registered
151 W 200 N
VERNAL, UT 84078
Uintah County (435) 789-3352
BRUCE A DANIEL MD
Emergency Medicine
151 W 200 N
VERNAL, UT 84078
Uintah County (435) 789-3342
DAVID ANDREW BESTENELHNER PHARM. D.
Pharmacist
151 W 200 N
VERNAL, UT 84078
Uintah County (435) 789-3342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Wilcken's NPI number?

The NPI number for Larry Wilcken is 1790817013. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Larry Wilcken located?

Larry Wilcken practices at 151 W 200 N, Vernal, UT 84078. The listed phone number is (435) 789-3342.

What is Larry Wilcken's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Larry Wilcken was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.