Individual
MR. LARRY DUANE GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 SENATOR WAY, CARMEL, IN 46032-5107
(317) 846-6965
(317) 819-5071
Mailing address
102 SENATOR WAY, CARMEL, IN 46032-5107
(317) 846-6965
(317) 819-5071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000137A
IN
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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