Craig W Larson in Iowa City - Physician Assistant
Craig W Larson - NPI 1912990128
Craig W Larson is a Physician Assistant in Iowa City, Iowa. Craig W Larson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Craig W Larson is 1912990128. The last update date is 2007-12-12.
Craig W Larson's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193536378 and fax number 3193563891. The mailing address for Craig W Larson is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig W Larson |
|---|---|
| Address | 200 Hawkins Dr, Iowa City, Iowa |
| Phone Number | 3193536378 |
| Fax Number | 3193563891 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1912990128 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
| Address | 200 Hawkins Dr |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421009 |
| Phone Number | 3193536378 |
| Fax Number | 3193563891 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 660 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14973 | IA | WELLMARK BCBS |
Post Comment/ Review Below
What is the Craig W Larson's 1912990128?
The Craig W Larson's NPI (National Provider Identifier) Number is 1912990128. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Craig W Larson is physically located?
The Craig W Larson is situated at the following address: 200 Hawkins Dr, Iowa City, IA 522421009.
What is Craig W Larson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Craig W Larson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Craig W Larson receive its 1912990128 assignment?
The Craig W Larson was assigned its 1912990128 on 2005-08-24, which is the date when this unique identifier was issued to the organization.
When was the Craig W Larson's information last updated?
The Craig W Larson's information was last updated on 2007-12-12.
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