Crystal Ann Larson, DO Valid NPI

Individual provider · Psychiatry Physician · Boise, ID

NPI

1982990453

Type

Individual (Type 1)

Primary specialty

Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0800X

License number

O-1357 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2011-06-23

Last updated

2021-05-14