Organization
SYRACUSE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY D ALLEN M.D. (OWNER)
(574) 457-5701
Entity
Organization
Contact information
Practice address
1033 N INDIANA AVE, SYRACUSE, IN 46567-1017
(574) 457-5701
(574) 457-5609
Mailing address
1033 N INDIANA AVE, SYRACUSE, IN 46567-1017
(574) 457-5701
(574) 457-5609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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