LARRY VAN CARSON

FORT WAYNE, IN
NPI1588764385
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: IN  01082907A)
Additional Taxonomies207T00000X Neurological Surgery
(Licence: VA  0101039834)
207T00000X Neurological Surgery
(Licence: GA  20197)
207T00000X Neurological Surgery
(Licence: NC  2008-02090)
207T00000X Neurological Surgery
(Licence: WV  14284)
207T00000X Neurological Surgery
(Licence: TN  25835)
Enumeration Date2006-09-22
Last Update Date2023-06-12
Business Address
LARRY VAN CARSON M.D., MBA
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845-1673
Phone number: 260-425-6780
Mailing Address
LARRY VAN CARSON M.D., MBA
PO BOX 9788
BELFAST, ME 04915-9788
Phone number: 910-295-0215