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Individual

DR. LARRY ROSS DEMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(760) 485-5100
Mailing address
80634 CAMINO SANTA ELISE, INDIO, CA 92203-7498
(760) 610-1121

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD00034650
WA
207Y00000X
Otolaryngology Physician
Primary
MD16012
OR

Other

Enumeration date
09/01/2006
Last updated
01/27/2010
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