Provider Demographics
NPI:1275528333
Name:SOBEL, LARRY ROBERT (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:ROBERT
Last Name:SOBEL
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4550 E BELL RD
Mailing Address - Street 2:#114
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-9306
Mailing Address - Country:US
Mailing Address - Phone:602-996-6668
Mailing Address - Fax:602-971-8877
Practice Address - Street 1:4550 E. BELL ROAD
Practice Address - Street 2:#114
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-9342
Practice Address - Country:US
Practice Address - Phone:602-996-6668
Practice Address - Fax:602-494-0926
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ12792207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZWCHYR01Medicare ID - Type Unspecified
AZD00342Medicare UPIN