PETER LARSON

MERIDIAN, ID
NPI1073053518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  55261)
Enumeration Date2017-03-02
Last Update Date2021-12-06
Business Address
PETER LARSON NP-C
3525 E LOUISE DR STE 400
MERIDIAN, ID 83642-6303
Phone number: 208-322-1680
Mailing Address
PETER LARSON NP-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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