Bruce D Larson in Fargo - Physician Assistant
Bruce D Larson - NPI 1265470371
Bruce D Larson is a Physician Assistant in Fargo, North Dakota. Bruce D Larson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bruce D Larson is 1265470371. The last update date is 2016-02-19.
Bruce D Larson's current location address is Po Box 6001, Fargo, North Dakota. You can contact this provider via phone number 7016834134 and fax number 7016834094. The mailing address for Bruce D Larson is Po Box 6001, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce D Larson |
|---|---|
| Address | Po Box 6001, Fargo, North Dakota |
| Phone Number | 7016834134 |
| Fax Number | 7016834094 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1265470371 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2016-02-19 |
Provider Mailing Address Detail
| Address | Po Box 6001 |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581086001 |
| Phone Number | 7016834134 |
| Fax Number | 7016834094 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PAC0257 |
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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 |
|---|---|---|---|
| 137047 | ND | UCARE # | |
| 1797235 | ND | AMERICA'S PPO/ARAZ # | |
| DA9061031057 | ND | PREFERRED ONE # | |
| 113759 | ND | MEDICA # | |
| 113760 | ND | MEDICA # | |
| 23227 | ND | NDBS # | |
| 514S4LS | ND | MNBS # | |
| 798727700 | ND | -- | |
| HP38590 | ND | HEALTHPARTNERS # | |
| 514S3LA | ND | MNBS # |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce D Larson by the Centers for Medicare & Medicaid Services?
The Bruce D Larson has been assigned the NPI (National Provider Identifier) 1265470371. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bruce D Larson is physically located?
The Bruce D Larson is situated at the following address: Po Box 6001, Fargo, ND 581086001.
On what date was the 1265470371 assigned to Bruce D Larson?
The Bruce D Larson was issued its 1265470371 on 2006-06-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Bruce D Larson receive the assignment of its 1265470371 from the Centers for Medicare & Medicaid Services?
The Bruce D Larson was issued its 1265470371 by the Centers for Medicare & Medicaid Services on 2006-06-02.
When was the information regarding Bruce D Larson most recently updated?
The details pertaining to the Bruce D Larson, including its address, specialty, and other relevant information, were last refreshed on 2016-02-19.