Doctor Name: | MR. LARRY JOE VOELKER |
NPI Number: | 1033215611 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 3356 |
Business Practice Address: | 30012 N Cave Creek Rd Suite 104 Cave Creek, AZ - 853315833 |
Business Phone Number: | 4804191824 |
Business Fax Number: | 4804193597 |
Mailing Address: | Po Box 10850, GLENDALE |
State: | AZ |
Postal Code: | 853180850 |
Phone Number: | 4804191824 |
Fax Number: | 4804193597 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 06/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 3356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |