Individual provider · Type 1 NPI

Beau Larson

Physician Assistant · Missoula, MT

NPI number 1932087665 Active

Practice location

500 W Broadway St Ste 320
Missoula, MT 59802-4003

Mailing address

PO Box 31001
Pasadena, CA 91110-4110

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMED-PAC-LIC-164422 (MT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1932087665

Beau Larson's National Provider Identifier is 1932087665, issued on Aug 21, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Missoula, MT. The record was last updated on Dec 9, 2025.