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Alexander Larson
NPI 1679168223 · on the registry since 2021
Practice
- Address
- 1907 S Broadway Ave Ste 101
Boise, ID 83706 - Phone
- (208) 345-1222
- Clinicians at this address
- 14
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
- 2021-10-11
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