MR. Brandon Leon Larsen, PA-C
NPI #1215523337 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1215523337
- Entity Type
- Individual
- Name
- MR. Brandon Leon Larsen, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Dec 13, 2020
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 1301 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6273
- Phone
- (208) 991-4296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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