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Individual

MR. LARRY JOE VOELKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
30012 N CAVE CREEK RD, SUITE 104, CAVE CREEK, AZ 85331-5833
(480) 419-1824
(480) 419-3597
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

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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