Richard E Larsen in Santa Teresa - Physician Assistant
Richard E Larsen - NPI 1235182312
Richard E Larsen is a Physician Assistant in Santa Teresa, New Mexico. Richard E Larsen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard E Larsen is 1235182312. The last update date is 2022-07-21.
Richard E Larsen's current location address is 5290 Mcnutt Road, Santa Teresa, New Mexico. You can contact this provider via phone number 5055891144 and fax number 5055892008. The mailing address for Richard E Larsen is 5290 Mcnutt Road, Santa Teresa, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard E Larsen |
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Address | 5290 Mcnutt Road, Santa Teresa, New Mexico |
Phone Number | 5055891144 |
Fax Number | 5055892008 |
Sole Proprietor | X |
Credentials | PA C |
NPI Number Detail
NPI Number | 1235182312 |
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Provider Enumeration Date | 2006-05-18 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 5290 Mcnutt Road |
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City | Santa Teresa |
State | New Mexico (NM) |
Post Code | 880081590 |
Phone Number | 5055891144 |
Fax Number | 5055892008 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | N99PA22 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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120 | NM | BCBS OF NM |
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What is the unique 10-digit identification code issued to Richard E Larsen by the Centers for Medicare & Medicaid Services?
The Richard E Larsen has been assigned the NPI (National Provider Identifier) 1235182312 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
What is Richard E Larsen's area of expertise and its corresponding taxonomy classification?
The Richard E Larsen's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
What is Richard E Larsen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard E Larsen is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Richard E Larsen receive its 1235182312 assignment?
The Richard E Larsen was assigned its 1235182312 on 2006-05-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Richard E Larsen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard E Larsen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.
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