# MR. LARRY JOE VOELKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033215611
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 3356 | AZ | — |
| 207Q00000X | Family Medicine Physician | 3356 | AZ | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 04/23/2018

## 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 |