Alexander Ronald Larson, | |
1907 S Broadway Ave Ste 101, Boise, ID 83706-4229 | |
(208) 345-1222 | |
Not Available |
Full Name | Alexander Ronald Larson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 3 Years |
Location | 1907 S Broadway Ave Ste 101, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679168223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA-2128 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Medical Group Llc | 3971544685 | 118 |
Mailing Address | Practice Location Address |
---|---|
Alexander Ronald Larson, Po Box 191050, Boise, ID 83719-1050 Ph: (208) 985-1399 | Alexander Ronald Larson, 1907 S Broadway Ave Ste 101, Boise, ID 83706-4229 Ph: (208) 345-1222 |
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