LARRY VAN CARSON MD
Individual Provider (NPI-1)
Active
Neurological Surgery
Provider Information
- NPI Number
1588764385- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN, 468451673
- Phone
- (260) 425-6780
- Fax
- (260) 425-6615
Specialties & Taxonomies
Neurological Surgery
License: VA #0101039834
Neurological Surgery
License: GA #20197
Neurological Surgery
License: NC #2008-02090
Neurological Surgery
License: WV #14284
Neurological Surgery
License: TN #25835
Plastic Surgery
License: IN #01082907A
Neurological Surgery
Primary License: IN #01082907A