SearchIdaho175T00000X

Craig Larsen, CPRC, CPRC-S

NPI 1063139772 · on the registry since 2022

Practice

Address
304 W Logan St
Caldwell, ID 83605
Phone
(208) 402-6782
Clinicians at this address
2

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho