BRENNEN LARSEN

REXBURG, ID
NPI1740659010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  6141)
Enumeration Date2015-09-17
Last Update Date2019-11-19
Business Address
BRENNEN LARSEN PA-C
21 WINN DR
REXBURG, ID 83440-5277
Phone number: 208-881-5222
Mailing Address
BRENNEN LARSEN PA-C
21 WINN DR
REXBURG, ID 83440-5277
Phone number: 208-881-5222
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