Larry Van Carson, MD

NPI #1588764385 in Fort Wayne, Indiana

Provider Information

NPI Number: 1588764385
Entity Type: Individual
Name: Larry Van Carson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Neurological Surgery
Credential: MD
Enumeration Date: Sep 22, 2006
Last Updated: Dec 9, 2024

Practice Location

Address: 11104 PARKVIEW CIRCLE DR STE 110
City: Fort Wayne
State: Indiana
ZIP Code: 46845-1673
Phone: (260) 425-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary
Plastic Surgery	208200000X

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