institution
Patricia A Dietzgen Do Llc
Primary Care Clinic/Center in Phoenix, Arizona
NPI 1255529491

Patricia A Dietzgen Do Llc is a Primary Care Clinic/Center based in Phoenix, AZ and is specialized in Primary Care. Patricia A Dietzgen Do Llc practices in Phoenix, AZ. The NPI Number for Patricia A Dietzgen Do Llc is 1255529491 and holds a License No. (Arizona).

The current practice location address for Patricia A Dietzgen Do Llc is 16515 S 40Th St, Phoenix, AZ and can be reached out via phone at 480-961-0760 and via fax at 480-961-0761.

Location: 16515 S 40Th St, Phoenix, AZ, 85048-0558
institution
Provider Profile Details
NPI Number
1255529491
Provider Name
Patricia A Dietzgen Do Llc
Credential
Provider Entity Type
Organization
Address
16515 S 40Th St, Phoenix, AZ, 85048-0558
Phone Number
480-961-0760
Fax Number
480-961-0761
Provider Enumeration Date
10/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE7249 01 AZ PALMETO GBA
institution
Provider Business Practice Location Address Details
Address
16515 S 40Th St
City
State
Zip
85048-0558
Phone Number
480-961-0760
Fax Number
480-961-0761
person
Provider Business Mailing Address Details
Address
16515 S 40Th St
City
State
Zip
85048-0558
Phone Number
480-961-0760
Fax Number
480-961-0761
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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