Individual
DR. LARRY M SHRAGER
Active
Individual
DR. LARRY M SHRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS 005571L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011230050005
—
PA
01
—
0080673000
IBC PRODUCTS
PA
01
—
010033426
MEDICARE RR
PA
01
—
0112300503
AMERICHOICE
PA
01
—
112682
COVENTRY
PA
01
—
115054
PA BLUE SHIELD
PA
01
—
2538151
AETNA
PA
01
—
P663877
OXFORD
PA
Enumeration date
08/21/2006
Last updated
02/06/2019
Update your record
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