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Contact Information

DON K LARUE, MPAS,APA-C
500 HWY 89 NORTH
PRESCOTT, AZ86313
 Phone: 800-949-1005
 Fax: 928-776-6125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DON K LARUE · (Male)

NPI # 1477513562
Status Active
Credentials MPAS,APA-C
Entity Individual
Enumeration date 03/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 186
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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