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Individual
MR. LARRY JOE VOELKER
Active
Individual
MR. LARRY JOE VOELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
3356
AZ
207Q00000X
Family Medicine Physician
Primary
3356
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103001
PACIFICARE
AZ
01
—
2370432
AETNA
AZ
05
—
520694
—
AZ
01
—
8590128001
CIGNA
AZ
01
—
AZ0875880
BCBS
AZ
Enumeration date
09/15/2006
Last updated
04/23/2018
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