Individual
DAVID LAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17900 N PORTER RD, MARICOPA, AZ 85138-4228
(520) 233-2500
(520) 233-2688
Mailing address
17900 N PORTER RD, MARICOPA, AZ 85138-4228
(520) 233-2500
(520) 233-2688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
253530-1
NY
208000000X
Pediatrics Physician
Primary
P4073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03161066
—
NY
05
—
303196501
—
TX
01
—
40836975
USMLE
NY
01
—
677857
AMERICAN BOARD OF PEDIATRICS
CT
01
—
8DK698
BCBS
TX
Enumeration date
05/07/2009
Last updated
03/07/2023
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