Ivory Larry, PA-C

NPI 1932109691 · on the registry since 2005

Practice

Address: 1500 Continental Pl
Mount Vernon, WA 98273
Phone: (360) 424-7041
Fax: (360) 424-8449
Organisation at this address: Proliance Surgeons, Inc., P.S.
Proliance Surgeons, Inc., P.S.
Proliance Surgeons, Inc., P.S.
Northwest Orthopaedic Surgeons, P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington