Search › Idaho › Physician Assistant
Brennen Larsen, PA-C
NPI 1740659010 · on the registry since 2015 · sole proprietor
Practice
- Address
- 21 Winn Dr
Rexburg, ID 83440 - Phone
- (208) 881-5222
- Fax
- (877) 441-4715
- Organisation at this address
- Fall River Medical, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-19
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