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Michael Larson, MD

NPI 1518960087 · on the registry since 2005

Practice

Address
360 East Main
Rexburg, ID 83440
Phone
(208) 356-9550
Fax
(208) 356-8023
Clinicians at this address
2

Registry record

Primary taxonomy
207X00000X
207X00000X
Also registered as
207X00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-12-14

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