Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVORY V LARRY, PA-C
ActiveIVORY V LARRY, PA-C is a Physician Assistant healthcare provider located in MOUNT VERNON, Washington. NPI 1932109691 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOUNT VERNON, WA
Registration Details
- NPI Number
- 1932109691
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2005 (21.038996378113 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA10000273 (WA)
Practice Information
- Address
-
1500 CONTINENTAL PLMOUNT VERNON, WA, 982734105Browse WA providers · Browse ZIP 98273
- Phone
- 3604247041
- Fax
- 3604248449
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MOUNT VERNON, WA
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD LOUIS GERLACH | PA-C | 1629076591 |
| MARK S VOLLRATH | PA-C | 1184623423 |
| FRED H. RENCO | PA-C | 1922062090 |
| ROBERT JAMES ROGERS | P.A.-C | 1669426417 |
| KATHLEEN MARY O'NEILL | PAC | 1518914811 |
| TY C. GULSTROM | PA- C | 1558306373 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.