| 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 |
|---|---|
| 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: Medicare Enrolled Practice Location: 285 W 12th St Ste 206, Peru, IN 46970 Phone: 765-472-8000 |