Jacob Larsen, PA

NPI 1558730291 · on the registry since 2015

Practice

Address: 775 Pole Line Rd W Ste 103
Twin Falls, ID 83301
Phone: (480) 620-2084
Organisation at this address: St Luke'S Clinic Llc
St Luke'S Clinic, Llc
David Johnson, M.D., P. A.
Arthritis Center Of Idaho,Pa
Bruce C Mccomas, M. D., P. A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 105

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-09-23

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