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NPI Code Detail

MEDICARE: LARRY MCELROY

MEDICARE: LARRY MCELROY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianOH
2208000000XPediatrics PhysicianOH
3208800000XUrology PhysicianOH
42085R0202XDiagnostic Radiology PhysicianOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669603676
Entity Type Code : Organization
Provider Name (Legal Business Name) : LARRY MCELROY
Provider Business Mailing Address
First Line : 24701 EUCLID AVE
Second Line : 3RD FLOOR
City : EUCLID
State : OH
Zip : 44117-1714
Country : US
Telephone Number : 216-383-6616
Fax Number :
Provider Business Practice Location Address
First Line : 5133 RIDGE RD
Second Line :
City : WADSWORTH
State : OH
Zip : 44281-9708
Country : US
Telephone Number : 216-844-3118
Fax Number : 216-844-3126
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCE
Name : LARRY MCELROY
Credential :
Telephone Number : 216-767-8717
Provider Enumeration Date : 08/07/2009
Last Update Date : 01/17/2011

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Directions to “LARRY MCELROY ” Practice Location

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