IndividualActive
Matthew Larsen, DO
NPI 1831413681 · Child & Adolescent Psychiatry Physician · Idaho Falls, ID
Provider details
- NPI number
- 1831413681
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- O-0856 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
Approximate (ZIP-level) locationGet directions
Mailing address
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Registry dates
- Enumerated
- 2010-03-23
- Last updated
- 2022-10-14
- Certified
- 2022-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.