Individual
GARY M HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
989 MEDICAL PARK DR, MAYSVILLE, KY 41056-8750
(606) 759-3180
Mailing address
8337 WYCLIFFE DR, CINCINNATI, OH 45244-2597
(513) 272-1958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35065157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928447
—
OH
Enumeration date
06/07/2006
Last updated
07/08/2007
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