Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY SHANE ELLIOTT
Active Sole ProprietorFamily Medicine · FAIRVIEW, OK
Registration Details
- NPI Number
- 1770933277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2016 (9.8867828864962 yrs)
- Last Updated
- Mar 23, 2022
- License
-
6155 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
523 E STATE RDFAIRVIEW, OK, 737371453Browse OK providers · Browse ZIP 73737
- Phone
- 5802273721
- Fax
- 5802272882
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FAIRVIEW, OK
| Name | Credential | NPI |
|---|---|---|
| DONALD KLINGER | D.O. | 1437185667 |
| ANDREA ELLEN MCEACHERN | DO | 1114105640 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.