Doctor Name: | DR. STEVEN LARSON |
NPI Number: | 1609824143 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | O-152 |
Business Practice Address: | 326 Poplar St Blackfoot, ID - 832211741 |
Business Phone Number: | 2087855801 |
Business Fax Number: | 2087853504 |
Mailing Address: | 98 Poplar St, BLACKFOOT |
State: | ID |
Postal Code: | 832211758 |
Phone Number: | 2087855801 |
Fax Number: | 2087853504 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 07/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | O-152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |