MEDICARE: DAVID P MCELREATH D.O.

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
1	207RG0100X	Gastroenterology Physician	E4387	AR

Other Identifiers

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

General Provider Information

NPI Number	:	1811198070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID P MCELREATH D.O.

Provider Business Mailing Address
First Line	:	PO BOX 26618
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72221-6601
Country	:	US
Telephone Number	:	501-313-5200
Fax Number	:	501-747-2868

Provider Business Practice Location Address
First Line	:	10915 N RODNEY PARHAM ROAD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-4114
Country	:	US
Telephone Number	:	501-747-2828
Fax Number	:	501-406-9265

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	01/22/2020

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Directions to “ DAVID P MCELREATH D.O.” Practice Location

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