MR. Brandon Leon Larsen, PA-C is a medical physician assistant in Pocatello, ID with 4 years of experience. MR. Brandon Leon Larsen, PA-C NPI is 1215523337. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
396 YELLOWSTONE AVE
POCATELLO, ID
ZIP 83201-572
Phone: (208) 254-7733
The NPI 1215523337 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/13/2020 and was last updated on 12/13/2020.