Individual provider · Type 1 NPI

Brad David Larsen, PA-C

Medical Physician Assistant · Apo, AE

NPI number 1144700782 Active

Practice location

31st Medical Group, Unit 6180
Apo, AE 09604

Call (314) 632-5105 Map

Mailing address

31 Medical Group, Unit 6180
Apo, AE 09604

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X1161415 (GA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X1161415 (GA)

Medical Physician Assistant: Definition to come...

7 other providers at this address

Other medical physician assistant providers in Apo

See all in Apo →

About NPI 1144700782

Brad David Larsen, PA-C's National Provider Identifier is 1144700782, issued on Aug 14, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Apo, AE. The record was last updated on Sep 25, 2026.