NPI 1699194530

Dustin Larsen

Practitioner Dermatology Physician Coeur D Alene, ID

Practice location

Address: 2199 N Merrit Crk Loop, Coeur D Alene, ID 83814-4949
Phone: (208) 665-7546
Mailing address: 1899 Tate Blvd SE # 2110, Hickory, NC 28602-4200

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 2023-01420 (NC)

Other Dermatology providers in Idaho →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M-13761 (ID)

Registry record

NPI: 1699194530
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2014
Record last updated: 8 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.