Larson, Gregory

Larson, Gregory is an individual health care provider with primary practice located at 550 E Colorado Blvd , Spearfish SD 57783-2776. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Larson, Gregory can be contacted via phone (605) 717-8860.

Contact Information

Primary practice address
550 E Colorado Blvd Spearfish SD 57783-2776
Phone: (605) 717-8860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1039 South Dakota

Profile Details

NPI number 1134577448
LBN Legal business name Larson, Gregory
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2016
Last updated May 26th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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