Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE D LARSON, PAC
ActiveBRUCE D LARSON, PAC is a Physician Assistant healthcare provider located in LISBON, North Dakota. NPI 1265470371 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LISBON, ND
Registration Details
- NPI Number
- 1265470371
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2006 (20.053957269267 yrs)
- Last Updated
- Feb 19, 2016
- License
-
PAC0257 (ND)
Practice Information
- Address
-
819 MAIN STLISBON, ND, 580544244Browse ND providers · Browse ZIP 58054
- Phone
- 7016834134
- Fax
- 7016834094
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LISBON, ND
| Name | Credential | NPI |
|---|---|---|
| KATIE L TANNER | PA | 1225013634 |
| STACEY MARIA WALTON | PA-C | 1801868062 |
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.