Individual
DR. LARRY G ONATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2502 N DODGE BLVD, STE. 190, TUCSON, AZ 85716-2671
(520) 618-8638
(520) 617-1608
Mailing address
2502 N DODGE BLVD, STE. 190, TUCSON, AZ 85716-2671
(520) 618-8638
(520) 617-1608
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19873
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158677
AHCCCS
AZ
Enumeration date
09/20/2006
Last updated
07/08/2007
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