Physician Assistant
ALEXANDER LARSON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1679168223 · enumerated 2021-03-05 · record updated 2021-10-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1907 S BROADWAY AVE STE 101, BOISE, ID, 83706-4229 (208) 345-1222 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 191050, BOISE, ID, 83719-1050 (208) 985-1399 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA-2128 ID
In this directory
Locations and evidence
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Practice location
BOISE, ID, 837064229
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.