Thomas Malott, PA | |
285 W 12th St, Ste 112, Peru, IN 46970-1653 | |
(765) 475-2388 | |
Not Available |
Full Name | Thomas Malott |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 285 W 12th St, Peru, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114982386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 10000716A (Indiana) | Primary |
Mailing Address | Practice Location Address |
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Thomas Malott, PA 285 W 12th St, Ste. 103, Peru, IN 46970-1653 Ph: (765) 475-2316 | Thomas Malott, PA 285 W 12th St, Ste 112, Peru, IN 46970-1653 Ph: (765) 475-2388 |
Leeanna Knight, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 N Broadway, Peru, IN 46970 Phone: 260-569-2120 Fax: 260-569-2121 | |
Mrs. Jourdan Alexis Day, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 285 W 12th St Ste 206, Peru, IN 46970 Phone: 765-472-8000 |