Individual
MR. DON K LARUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPAS,APA-C
Contact information
Practice address
500 HWY 89 NORTH, PRESCOTT, AZ 86313
(800) 949-1005
(928) 776-6125
Mailing address
5231 N LONE DR, PRESCOTT VALLEY, AZ 86314-4339
(800) 949-1005
(928) 776-6125
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
186
WY
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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