NPI 1508953555 · live from the CMS NPI Registry
Steven Allen Larsen, MD
Radiology, Diagnostic Radiology in Pocatello, ID. National Provider Identifier 1508953555, active.
NPI record
| NPI | 1508953555 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 777 Hospital Way, Bldg B, Pocatello, ID 83201 |
| Practice phone | 208-239-1000 |
| Mailing address | 2265 E Sunnyside Rd Bldg B, Idaho Falls, ID 83404 |
| Enumerated | October 9, 2006 |
| Last updated | June 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | DR.0076559 (CO) |
| Radiology, Diagnostic Radiology | 2085R0202X | T0549 (TX) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | M-9927 (ID) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD26653 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.