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Individual

DR. GAREY LEE MCLELLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10615 PATRINGTON CT, LAS VEGAS, NV 89123-4562
(702) 577-7362
(702) 897-9013
Mailing address
10615 PATRINGTON CT, LAS VEGAS, NV 89123-4562
(702) 577-7362
(702) 897-9013

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01075082A
IN
2085R0202X
Diagnostic Radiology Physician
26006
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
6373
NV
2085R0202X
Diagnostic Radiology Physician
F1809
TX
2085R0202X
Diagnostic Radiology Physician
ME45603
FL
2085R0204X
Vascular & Interventional Radiology Physician
01075082A
IN

Other

Enumeration date
01/28/2006
Last updated
10/07/2015
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