Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD E LARSEN, PA C
ActiveMR. RICHARD E LARSEN, PA C is a Physician Assistant healthcare provider located in SANTA TERESA, New Mexico. NPI 1235182312 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SANTA TERESA, NM
Registration Details
- NPI Number
- 1235182312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (20.209240929196 yrs)
- Last Updated
- Jul 21, 2022
- License
-
N99PA22 (NM)
Practice Information
- Address
-
5290 MCNUTT ROADSANTA TERESA, NM, 880081590Browse NM providers · Browse ZIP 88008
- Phone
- 5055891144
- Fax
- 5055892008
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SANTA TERESA, NM
| Name | Credential | NPI |
|---|---|---|
| MRS. SUNNY T BAKER | PA | 1356549711 |
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.