Peter Richard Larson, PAC
NPI #1396706511 in Oak Park Heights, Minnesota
Provider Information
- NPI Number
- 1396706511
- Entity Type
- Individual
- Name
- Peter Richard Larson, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Mar 29, 2006
- Last Updated
- Aug 26, 2021
Practice Location
- Address
- 5803 NEAL AVE N
- City
- Oak Park Heights
- State
- Minnesota
- ZIP Code
- 55082-2177
- Phone
- (651) 439-8807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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