Individual
LARRY DEAN STARR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2559 MEDICAL DR, STE A, ALAMOGORDO, NM 88310
(505) 434-1500
(505) 434-1680
Mailing address
2559 MEDICAL DR, STE A, ALAMOGORDO, NM 88310
(505) 434-1500
(505) 434-1680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75253
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26708
—
NM
01
—
88310A003
TRICARE
NM
01
—
NM012678
BCBS
NM
Enumeration date
05/25/2006
Last updated
07/08/2007
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