GREGORY LARSON

SPEARFISH, SD
NPI1134577448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  1039)
Enumeration Date2016-05-26
Last Update Date2016-05-26
Business Address
-- GREGORY LARSON PA-C
550 E COLORADO BLVD
SPEARFISH, SD 57783-2776
Phone number: 605-717-8860
Mailing Address
-- GREGORY LARSON PA-C
550 E COLORADO BLVD
SPEARFISH, SD 57783-2776
Phone number: 605-717-8860