Provider Demographics
NPI:1508893645
Name:MCELREATH, RICKY L (MD)
Entity Type:Individual
Prefix:DR
First Name:RICKY
Middle Name:L
Last Name:MCELREATH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:75 PRINGLE WAY
Mailing Address - Street 2:SUITE 1002
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1475
Mailing Address - Country:US
Mailing Address - Phone:775-323-7500
Mailing Address - Fax:775-789-9208
Practice Address - Street 1:75 PRINGLE WAY
Practice Address - Street 2:SUITE 1002
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1475
Practice Address - Country:US
Practice Address - Phone:775-323-7500
Practice Address - Fax:775-789-9208
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2016-01-14
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Provider Licenses
StateLicense IDTaxonomies
NV3894208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2016201Medicaid
NV2016201Medicaid
NVC96774Medicare UPIN