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Mr. Brandon Leon Larsen, PA-C
Medical Physician Assistant in Pocatello, Idaho
NPI 1215523337

Brandon Leon Larsen is a Medical Physician Assistant based in Ammon, ID and is specialized in Medical. Brandon Leon Larsen practices in Pocatello, ID and has the professional credentials of PA-C. The NPI Number for Brandon Leon Larsen is 1215523337 and holds a License No. PA-1985 (Idaho).

The current practice location address for Brandon Leon Larsen is 396 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-254-7733. You can also correspond with Brandon Leon Larsen through the mailing address at 891 TIE BREAKER DR, AMMON, ID - 83406-4554 (mailing address contact number: 208-569-8676).

Location: 396 Yellowstone Ave, Pocatello, ID, 83406-4554
person
Provider Profile Details
NPI Number
1215523337
Provider Name
Brandon Leon Larsen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
396 Yellowstone Ave, Pocatello, ID, 83406-4554
Phone Number
208-254-7733
Fax Number
Provider Enumeration Date
12/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
396 Yellowstone Ave
City
State
Zip
83201-4572
Phone Number
208-254-7733
Fax Number
person
Provider Business Mailing Address Details
Address
396 Yellowstone Ave
City
State
Zip
83201-4572
Phone Number
208-254-7733
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-1985 (Idaho)
Definition
Definition to come...
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