NPI 1659696672 · live from the CMS NPI Registry
Siri Shirene Knutsen Larson, M.D.
Dermatology in Rapid City, SD. National Provider Identifier 1659696672, active.
NPI record
| NPI | 1659696672 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 717 Meade St, Suite 100, Rapid City, SD 57701 |
| Practice phone | 605-341-5910 |
| Enumerated | April 1, 2010 |
| Last updated | January 14, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 9107 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.