Individual
DANIEL L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R025275
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002124
BLUE CROSS OF SD
SD
05
—
2129007
—
IA
05
—
460224743-48
—
NE
05
—
5752483
—
SD
05
—
5752484
—
SD
01
—
753S0LA
MN BLUE CROSS BS
MN
01
—
R025275
DAKOTACARE
SD
Enumeration date
07/03/2006
Last updated
03/07/2008
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