| Bruce D Larson, PAC | |
|
819 Main St, Lisbon, ND 58054-4244 | |
| (701) 683-4134 | |
| (701) 683-4094 |
| Full Name | Bruce D Larson |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 819 Main St, Lisbon, North Dakota |
| 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 |
|---|---|---|---|
| 1265470371 | NPI | - | NPPES |
| 137047 | Other | ND | UCARE # |
| 1797235 | Other | ND | AMERICA'S PPO/ARAZ # |
| DA9061031057 | Other | ND | PREFERRED ONE # |
| 0113759 | Other | ND | MEDICA # |
| 0113760 | Other | ND | MEDICA # |
| 23227 | Other | ND | NDBS # |
| 514S4LS | Other | ND | MNBS # |
| 798727700 | Medicaid | ND | |
| HP38590 | Other | ND | HEALTHPARTNERS # |
| 514S3LA | Other | ND | MNBS # |
| 515S5LA | Other | ND | MNBS # |
| 0113761 | Other | ND | MEDICA # |
| 23228 | Other | ND | NDBS # |
| P00055624 | Other | ND | RR MEDICARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0257 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce D Larson, PAC Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 683-4134 | Bruce D Larson, PAC 819 Main St, Lisbon, ND 58054-4244 Ph: (701) 683-4134 |
Katie L Tanner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 701-683-4134 Fax: 701-683-4094 | |
Stacey Maria Walton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 9th Ave E, Lisbon, ND 58054 Phone: 701-683-4711 Fax: 701-683-3205 |