Alexander Ronald Larson

Physician Assistant · Boise, ID

Individual Active NPI

NPI number 1679168223

Practice location

1907 S Broadway Ave Ste 101
Boise, ID 83706-4229
Phone
(208) 345-1222

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NPI record

NPI
1679168223
Entity type
Individual (Type 1)
Enumeration date
March 5, 2021
Last updated
October 11, 2021
Certified
October 11, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA-2128 ID

Mailing address

PO Box 191050
Boise, ID 83719-1050
Phone
(208) 985-1399

About Alexander Larson

Alexander Ronald Larson is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1907 S Broadway Ave Ste 101, Boise, ID 83706-4229. The NPI number 1679168223 was assigned on March 5, 2021 and the record was last updated on October 11, 2021.

Alexander Larson lists a license in the registry: #PA-2128 (ID) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alexander Ronald Larson?

The NPI number is 1679168223.

What is the phone number of Alexander Larson?

The phone number listed for the practice location is (208) 345-1222.

Where is Alexander Larson located?

1907 S Broadway Ave Ste 101, Boise, ID 83706-4229.

What is the taxonomy code for Alexander Larson?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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