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Individual

MR. JOHN LARRY MCELROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 1574
CO

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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