Individual
STEVEN ALLEN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HOSPITAL WAY, BLDG B, POCATELLO, ID 83201-5175
(208) 239-1000
Mailing address
2265 E SUNNYSIDE RD, BLDG B, IDAHO FALLS, ID 83404-7598
(208) 542-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-9927
ID
2085R0202X
Diagnostic Radiology Physician
MD26653
OR
2085R0202X
Diagnostic Radiology Physician
T0549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005925
—
OR
05
—
807481100
—
ID
Enumeration date
10/09/2006
Last updated
02/26/2026
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