Individual
MR. BOYD ERIC LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
(208) 542-9114
Mailing address
1115 LANE 12, LOVELL, WY 82431
(307) 548-5200
(307) 548-5224
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
ML1456587
ID
Other
Enumeration date
10/17/2006
Last updated
02/10/2010
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