Brennen Larsen, PA-C

NPI #1740659010 in Rexburg, Idaho

Provider Information

NPI Number: 1740659010
Entity Type: Individual
Name: Brennen Larsen, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 17, 2015
Last Updated: Nov 19, 2019

Practice Location

Address: 21 WINN DR
City: Rexburg
State: Idaho
ZIP Code: 83440-5277
Phone: (208) 881-5222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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