Timothy L Larson in Marshall - Physician Assistant
Timothy L Larson - NPI 1982630828
Timothy L Larson is a Physician Assistant in Marshall, Minnesota. Timothy L Larson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Timothy L Larson is 1982630828. The last update date is 2011-10-31.
Timothy L Larson's current location address is 1401 Nwakama St, Marshall, Minnesota. You can contact this provider via phone number 5079297696 and fax number 5073937697. The mailing address for Timothy L Larson is 1401 Nwakama St, Marshall, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy L Larson |
|---|---|
| Address | 1401 Nwakama St, Marshall, Minnesota |
| Phone Number | 5079297696 |
| Fax Number | 5073937697 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1982630828 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2011-10-31 |
Provider Mailing Address Detail
| Address | 1401 Nwakama St |
|---|---|
| City | Marshall |
| State | Minnesota (MN) |
| Post Code | 562585529 |
| Phone Number | 5079297696 |
| Fax Number | 5073937697 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 386 |
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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 |
|---|---|---|---|
| 6826122 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Timothy L Larson by the Centers for Medicare & Medicaid Services?
The Timothy L Larson has been assigned the NPI (National Provider Identifier) 1982630828 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Timothy L Larson?
The Timothy L Larson is situated at 1401 Nwakama St, in the city of Marshall, state of MN, with the zip code 562585529.
What is the area of specialization for Timothy L Larson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy L Larson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did Timothy L Larson receive its 1982630828 assignment?
The Timothy L Larson was assigned its 1982630828 on 2006-06-23, which is the date when this unique identifier was issued to the organization.
As of what date were the Timothy L Larson's details last updated?
The information pertaining to the Timothy L Larson, including its address, specialty, and other details, was most recently updated on 2011-10-31.