Gregory Larson, PA-C

NPI #1134577448 in Spearfish, South Dakota

Provider Information

NPI Number: 1134577448
Entity Type: Individual
Name: Gregory Larson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

Address: 550 E COLORADO BLVD
City: Spearfish
State: South Dakota
ZIP Code: 57783-2776
Phone: (605) 717-8860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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