Provider Demographics
NPI:1407157290
Name:LARKE, DANIEL S (NMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:LARKE
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 W CHANDLER BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5287
Mailing Address - Country:US
Mailing Address - Phone:214-725-5684
Mailing Address - Fax:480-444-1455
Practice Address - Street 1:1835 W CHANDLER BLVD STE 202
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5287
Practice Address - Country:US
Practice Address - Phone:214-725-5684
Practice Address - Fax:480-444-1455
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath