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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRANDON LEON LARSEN, PA-C

Active

MR. BRANDON LEON LARSEN, PA-C is a Medical Physician Assistant healthcare provider located in IDAHO FALLS, Idaho. NPI 1215523337 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · IDAHO FALLS, ID

Registration Details

NPI Number
1215523337
Provider Type
Individual
Gender
Male
NPI Issued
Dec 13, 2020 (5.7142828263126 yrs)
Last Updated
Nov 19, 2024
License
PA-1985 (ID)

Practice Information

Address
1301 E 17TH ST
IDAHO FALLS, ID, 834046273
Browse ID providers · Browse ZIP 83404
Phone
2089914296
Fax
2086562846
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in IDAHO FALLS, ID

Name Credential NPI
MS. JAMIE L CARTER PAC 1851396519
BRIAN DAVID MILLER PA-C BS 1861483455
WADE K CHRISTENSEN P.A. 1386626463
JAMES TYLER CHRISTENSEN PA 1578540498
MS. STEPHANIE MORGAN PA 1316910797
LAURA A TABOR P.A. 1538121322
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.