Larry Shane Elliott

NPI #1770933277 in Fairview, Oklahoma

Provider Information

NPI Number
1770933277
Entity Type
Individual
Name
Larry Shane Elliott
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Enumeration Date
Jun 15, 2016
Last Updated
Mar 23, 2022

Practice Location

Address
523 E STATE RD
ZIP Code
73737-1453
Phone
(580) 227-3721

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Organizations

Provider Name
Fairview Regional Medical Center Authority

Part of Fairview Hospital

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Fairview Regional Medical Center Authority

Part of Fairview Regional Medical Center Authority

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