Individual
LARRY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
332 CONGRESS PARK DR, DAYTON, OH 45459-4133
(937) 312-3627
Mailing address
PO BOX 951144, CLEVELAND, OH 44193-0005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-037744
OH
Other
Enumeration date
06/09/2006
Last updated
08/05/2011
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