person
Miss Mallory Christine Larsen, PA-C
Medical Physician Assistant in Indianapolis, Indiana
NPI 1255780656

Mallory Christine Larsen is a Medical Physician Assistant based in Detroit, IN and is specialized in Medical. Mallory Christine Larsen practices in Indianapolis, IN and has the professional credentials of PA-C. The NPI Number for Mallory Christine Larsen is 1255780656 and holds a License No. 10002066A (Indiana).

The current practice location address for Mallory Christine Larsen is 5330 E Stop 11 Rd, Indianapolis, IN and can be reached out via phone at 317-893-1900 and via fax at 317-893-1901.

Location: 5330 E Stop 11 Rd, Indianapolis, IN, 48278-1076
person
Provider Profile Details
NPI Number
1255780656
Provider Name
Mallory Christine Larsen
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5330 E Stop 11 Rd, Indianapolis, IN, 48278-1076
Phone Number
317-893-1900
Fax Number
317-893-1901
Provider Enumeration Date
06/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5330 E Stop 11 Rd
City
State
Zip
46237-6345
Phone Number
317-893-1900
Fax Number
317-893-1901
person
Provider Business Mailing Address Details
Address
5330 E Stop 11 Rd
City
State
Zip
46237-6345
Phone Number
317-893-1900
Fax Number
317-893-1901
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10002066A (Indiana)
Definition
Definition to come...
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