Organization
LARRY MCELROY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (VICE PRESIDENT OF FINANCE)
(216) 767-8717
Entity
Organization
Contact information
Practice address
5133 RIDGE RD, WADSWORTH, OH 44281-9708
(216) 844-3118
(216) 844-3126
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
OH
208000000X
Pediatrics Physician
—
OH
2085R0202X
Diagnostic Radiology Physician
Primary
—
OH
208800000X
Urology Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
08/07/2009
Last updated
01/17/2011
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