Provider Demographics
NPI:1750448908
Name:ELFRINK SURGICAL, LLC
Entity Type:Organization
Organization Name:ELFRINK SURGICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ELFRINK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:660-831-5001
Mailing Address - Street 1:PO BOX 748
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MO
Mailing Address - Zip Code:65340-0748
Mailing Address - Country:US
Mailing Address - Phone:660-831-5001
Mailing Address - Fax:660-831-5091
Practice Address - Street 1:2301 S HIGHWAY 65
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340-3702
Practice Address - Country:US
Practice Address - Phone:660-831-5001
Practice Address - Fax:660-831-5091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO100371208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty