Search › Idaho › 207N00000X
Dustin Larsen
NPI 1699194530 · on the registry since 2014
Practice
- Address
- 2199 N Merrit Crk Loop
Coeur D Alene, ID 83814 - Phone
- (208) 665-7546
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207N00000X
- Licence states on file
- ID, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-08
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