MEDICARE: LARRY HARVEY OPOLINER MD

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	208600000X	Surgery Physician		NC

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
2	136GT	OTHER	NC	BLUE CROSS/ BLUE SHIELD

General Provider Information

NPI Number	:	1861492365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY HARVEY OPOLINER MD

Provider Business Mailing Address
First Line	:	145 MEDICAL PARK LN
Second Line	:	SUITE J
City	:	MURPHY
State	:	NC
Zip	:	28906-6850
Country	:	US
Telephone Number	:	828-837-1332
Fax Number	:	828-837-0681

Provider Business Practice Location Address
First Line	:	145 MEDICAL PARK LN
Second Line	:	SUITE J
City	:	MURPHY
State	:	NC
Zip	:	28906-6850
Country	:	US
Telephone Number	:	828-837-1332
Fax Number	:	828-837-0681

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	07/09/2007

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