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NPI Code Detail

MEDICARE: DAVID LAR MD

MEDICARE: DAVID LAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician253530-1NY
2208000000XPediatrics PhysicianP4073TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140836975OTHERNYUSMLE
28DK698OTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4677857OTHERCTAMERICAN BOARD OF PEDIATRICS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962636845
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LAR MD
Provider Business Mailing Address
First Line : 17900 N PORTER RD
Second Line :
City : MARICOPA
State : AZ
Zip : 85138-4228
Country : US
Telephone Number : 520-233-2500
Fax Number : 520-233-2688
Provider Business Practice Location Address
First Line : 17900 N PORTER RD
Second Line :
City : MARICOPA
State : AZ
Zip : 85138-4228
Country : US
Telephone Number : 520-233-2500
Fax Number : 520-233-2688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2009
Last Update Date : 03/07/2023

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Directions to “ DAVID LAR MD” Practice Location

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