Search › Idaho › 363A00000X
Tucker Larsen, PA-C
NPI 1245671379 · on the registry since 2013
Practice
- Address
- 427 N 12th St.
Plummer, ID 83851 - Phone
- (208) 686-1931
- Organisation at this address
- Benewah Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 101YM0800X
390200000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-08
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