Individual
DR. LARRY NEIL MONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8040 CLEARVISTA PKWY, SUITE 540, INDIANAPOLIS, IN 46256-5630
(317) 621-3900
(317) 621-3902
Mailing address
8040 CLEARVISTA PKWY, SUITE 540, INDIANAPOLIS, IN 46256-5630
(317) 621-3900
(317) 621-3902
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
01021544A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083901
ANTHEM
IN
05
—
100057220A
—
IN
Enumeration date
01/22/2007
Last updated
11/06/2007
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