Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB LARSEN, PA
ActiveJACOB LARSEN, PA is a Physician Assistant healthcare provider located in TWIN FALLS, Idaho. NPI 1558730291 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TWIN FALLS, ID
Registration Details
- NPI Number
- 1558730291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2015 (10.846558281797 yrs)
- Last Updated
- Sep 23, 2015
Practice Information
- Address
-
775 POLE LINE RD W STE 103TWIN FALLS, ID, 833015819Browse ID providers · Browse ZIP 83301
- Phone
- 4806202084
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| CHUCK B FULLER | PA-C | 1124015102 |
| WINSTON N PETERSEN | PA-C | 1194714717 |
| JEREMY DAVID WILLES | PAC | 1356314843 |
| BRIAN KEITH BIZIK | P.A. | 1932166956 |
| NEELIE BERLIN WILLIS | PA-C | 1477590958 |
| NICHOLAS J PERIUS | PA | 1154363000 |
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.